Individual provider Active NPI

Juan Silva, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1790738110
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69892 Issued in 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
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A69892 CA Primary

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

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
I20050609000489 CA Practitioner - Emergency MedicinePractitioner - Family Practice 8921041013 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
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
Mosaic Family Care Medical Group IncGroup PAC ID 3375622376, 3 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69892CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Mosaic Family Care Medical Hospitalist Group Inc CurrentSince Sep 3, 2024 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Jun 1, 2019 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Clinica del Dr. Castillo Y Dr. Silva, Inc.. Family Medicine PastSince Dec 24, 2007 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Ahmc Monterey Park Hospital LP 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

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

4857 Huntington Dr N
Los Angeles, CA 90032
Phone (323) 226-9042

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: juan.silva.1@16145.direct.athenahealth.com
  • Direct secure messaging: juan.silva.1@28334.direct.athenahealth.com
  • Direct secure messaging: juan.silva.p1@direct.scfhc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1790738110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-226-9042",
            "fax_number": "323-226-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-226-9042",
            "fax_number": "323-226-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.