Juan Silva, MD
Individual provider Active NPI Family Medicine Physician · Los Angeles, CA
NPI 1790738110 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1790738110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A69892 (CA)
- Practice address
- 4857 Huntington Dr N
Los Angeles, CA 90032-1939 - Phone
- (323) 226-9042
- Fax
- (323) 226-9426
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of California, Davis School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Prohealth Partners, a Medical Group
Mosaic Family Care Medical Group Inc
Practice addresses (Care Compare)
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 748-2411
4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone (323) 226-9042
Hospital & facility affiliations
- Curing Hands Home Health, Inc
- Lavanda Home Health Care Agency, Inc
- Golden Time Hospice, Inc
- Adventist Health White Memorial
- California Hospital Medical Center la
- Keck Hospital of Usc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000489 | CA | Practitioner - Emergency Medicine |
8921041013 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69892 | CA | MD | Family Medicine Physician |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners a Medical Group Inc | Current |
Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current |
Accepting new patients | |
| Mosaic Family Care Medical Hospitalist Group Inc | Current |
Accepting new patients | |
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients | |
| Clinica del Dr. Castillo Y Dr. Silva, Inc.. | Family Medicine | Past |
Accepting new patients |
| Rancho Faculty Medical Associates, Inc. | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| Jse Emergency Medical Group | Past | Accepting new patients |
Locations
3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
4857 Huntington Dr N
Los Angeles, CA 90032
Phone (323) 226-9042
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- juan.silva.p1@direct.scfhc.nextgenshare.com
- juan.silva.1@16145.direct.athenahealth.com
- juan.silva.1@28334.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A69892 | CA | Yes |
Addresses
Primary practice location
4857 Huntington Dr N
Los Angeles, CA 90032-1939
Mailing address
4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone (323) 226-9042
Other providers in Los Angeles, CA
- Jazmine Silva
- Jenese Julissa Silva
- Jennifer Stefania Silva
- Jocelio Silva
- Jonathan Silva
- Kanchana Silva
- Kimberly Ann Silva
- Leonorcita Silva
- Manel Silva
- Marcelo M Silva
All providers in Los Angeles, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.