Active NPI
Curtis Lisante Cetrulo, MD
- Plastic Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A88073
- Practice address
- 8635 W 3Rd St Ste 770W
Los Angeles, CA 90048-6101 - Phone
- (310) 423-8350
- Fax
- (310) 423-4145
- NPI assigned
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A88073 | CA | |
| Plastic Surgery Physician | 208200000X | A88073 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 770W
Los Angeles, CA 90048-6101
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
1450 San Pablo Street
Suite 2000
Los Angeles, CA 90033-4500
Phone (323) 442-5910
Other practice location 2
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-8350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A880730 | Medicaid | CA | |
| 00A880730 | Other | CA | BLUE SHIELD PROV. NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Tufts University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8636 W 3Rd St
Los Angeles, CA 90048-3323
Phone (310) 423-5000
Hospital & facility affiliations
- Cedars-Sinai Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 12 |
| Melanoma (skin cancer) excision | 24 |
| Removal of tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88073 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Plastic Surgery | Current | Accepting new patients |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Surgery | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Keck Medical Center of Usc | Past | Accepting new patients | |
| The Shriners' Hospital for Children | Past | Accepting new patients | |
| Usc Surgeons, Inc. | Surgery | Past | Accepting new patients |
Locations
8636 W 3rd St
Los Angeles, CA 90048
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Interoperability endpoints
- ccetrulo448170@direct.cshs.org
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
-
- Pediatric Surgery Physician
- Boston, MA
- NPI 1366886525
Plastic Surgery
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821034315
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
-
- Children's Hospital
- Boston, MA
- NPI 1114053782
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1801084462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 770W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-423-8350",
"fax_number": "310-423-4145"
}
],
"practiceLocations": [
{
"address_1": "1450 San Pablo Street",
"address_2": "Suite 2000",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900334500",
"country_code": "US",
"telephone_number": "323-442-5910",
"fax_number": "323-442-6798",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-8350",
"fax_number": "310-423-4145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CETRULO",
"first_name": "CURTIS",
"middle_name": "LISANTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A88073",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A88073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A880730",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROV. NUMBER",
"identifier": "00A880730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.