Active NPI
Mussolini Africano
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1750594891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15216
- Practice address
- 1200 N State St
Los Angeles, CA 90033-1029 - Phone
- (323) 744-3750
- NPI assigned
- May 7, 2007
- Last updated
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15216 | CA | Primary |
| Internal Medicine Physician | 207R00000X | PA15216 | CA |
Addresses
Primary practice location
1200 N State St
Los Angeles, CA 90033-1029
Mailing address
1200 N State St
Los Angeles, CA 90033-1029
Phone (323) 744-3750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140319000372 | CA | Order and Referring Only - Physician Assistant | 5395976252 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15216 | CA | MD | Internal Medicine Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1750594891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-744-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-744-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFRICANO",
"first_name": "MUSSOLINI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15216",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "PA15216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Ayisat Afolabi
- Danielle Belle Afota, NP
- Afshin Afrashteh, MD
- Igor Afremov
- Naomi Lewis Afriat, LCSW
- Niko Sebastian Baldemor Africano
- Afrikan Christian Center, Inc (Noble Rehab Center II)
- Afrikan Christian Center, Inc. (Noble Rehabilitation & Therapeutic SVCS., Inc.)
- Lusine A Afrikyan
- Afsaneh Karimi MD Inc (Fetal diagnostic of southern California)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.