Individual provider Active NPI

Curtis Lisante Cetrulo, MD

  • Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1801084462
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A88073 Issued in CA
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

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A880730MedicaidCA
00A880730OtherCABLUE SHIELD PROV. NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041001000377 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 9537138995 Reassigns benefits to 1 organization
I20091027000543 MA Practitioner - Plastic and Reconstructive Surgery 9537138995 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General 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
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

8636 W 3Rd St
Los Angeles, CA 90048-3323
Phone (310) 423-5000

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy12
Melanoma (skin cancer) excision24
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88073CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Shriners' Hospital for Children CurrentSince Mar 18, 2020 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 7, 2023 Accepting new patients
The Shriners' Hospital for Children Plastic Surgery CurrentSince Mar 18, 2020 Accepting new patients
The Shriners' Hospital for Children Current Accepting new patients
Massachusetts General Physicians Organization Inc Surgery CurrentSince Sep 11, 2009 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 7, 2023 Accepting new patients
The General Hospital Corporation CurrentSince Dec 7, 2010 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.