Edgardo M Capitulo MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A43464 Issued in CA

Legal business name

EDGARDO M CAPITULO MD INC

Practice address

1411 W Sunset Blvd
Suite 203
Los Angeles, CA 90026-3431

Phone

(213) 482-8313

Fax

(213) 481-7383

NPI assigned

Jan 18, 2007

Last updated

Oct 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edgardo M Capitulo, MDNPI 1164454385

Title

President

Phone

(818) 882-7656

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgardo M Capitulo, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1164454385
  Medicare reassignment NPD Authorized official
• Cesar A Velez, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1922043587
  NPD (past)
• Elizabeth Alexandra Velez, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1063107464
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1780736553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 WINNETKA AVE",
            "address_2": "SUITE 267",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913062677",
            "telephone_number": "818-882-7656",
            "fax_number": "818-773-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SUNSET BLVD",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263431",
            "telephone_number": "213-482-8313",
            "fax_number": "213-481-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARDO M CAPITULO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "CAPITULO",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-882-7656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A43464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Eder, AMFT
• Alma Edeza Heredia
• Edgar Fincher MD, Incorporated
• Bria Edgar
• Bruce Edgar, MD
• Juliet Beni Edgcomb, MD PHD
• Isabel Edge, M.D.
• Lindsey Edgell, OTR/L
• Edgemont Medical Clinic
• Edgemont Medical Equipment Inc.

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.