Individual provider Active NPI

George Nicholas Fallieras, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1790721678
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
026289 Issued in LA
Practice address
827 N Curson Ave
Los Angeles, CA 90046-7401
Phone
(504) 236-1562
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026289 LA Primary
Pediatrics Physician 208000000X 026289 LA

Addresses

Primary practice location

827 N Curson Ave
Los Angeles, CA 90046-7401

Mailing address

827 N Curson Ave
Los Angeles, CA 90046-7401
Phone (504) 236-1562

Other identifiers 1

IdentifierTypeStateIssuer
1051179MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000803 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 3779580766 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Can Emergency Physicians Medical Group IncGroup PAC ID 8820304462, 49 clinicians
Cedar Springs Hospitalist Medical Group IncGroup PAC ID 6406199868, 26 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Pih Health Good Samaritan Hospital D/P SNF Nursing home, Los Angeles, CA, CCN 555927

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026289LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Springs Hospitalist Medical Group, Inc. CurrentSince Nov 28, 2023 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc CurrentSince Jan 10, 2018 Accepting new patients
Pih Health Physicians CurrentSince Nov 1, 2020 Accepting new patients
Pih Health Physicians Current Accepting new patients
Can Emergency Physicians Medical Group Inc CurrentSince Jul 16, 2017 Accepting new patients
Can Emergency Physicians Medical Group, Inc. CurrentSince Jul 16, 2017 Accepting new patients
Alan Rojas MD Inc Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Pih Health Physicians Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1790721678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N CURSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467401",
            "telephone_number": "504-236-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N CURSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467401",
            "telephone_number": "504-236-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLIERAS",
        "first_name": "GEORGE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "026289",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "026289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051179",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.