Individual provider Active NPI

David G. Little, DPM

  • Podiatrist
  • West Hollywood, CA
National Provider Identifier
1841395001
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3767 Issued in CA
Practice address
7768 3/4 Santa Monica Blvd
West Hollywood, CA 90046-6219
Phone
(310) 283-4449
Fax
(818) 230-9004
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3767 CA Primary

Addresses

Primary practice location

7768 3/4 Santa Monica Blvd
West Hollywood, CA 90046-6219

Mailing address

15 Hitching Post Dr
Rolling Hills Estates, CA 90274-5169
Phone (310) 283-4449

Other identifiers 1

IdentifierTypeStateIssuer
1760550735MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217001195 CA Practitioner - Podiatry 0648165712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians

Practice addresses (Care Compare)

12520 Magnolia Blvd
Suite 304
Valley Village, CA 91607-2355
Phone (818) 452-9902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3767CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Salute Hospice Inc Current Accepting new patients
Premium Podiatry, Inc. Podiatrist PastSince Nov 15, 2020 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Salute Hospice IncLomita, CA, CCN 751706 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Operational/Managerial Control (50%)
Oct 1, 2017
Oct 1, 2017
Oct 1, 2017
Oct 1, 2017
Oct 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1841395001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HITCHING POST DR",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902745169",
            "telephone_number": "310-283-4449",
            "fax_number": "818-230-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 3/4 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466219",
            "telephone_number": "310-283-4449",
            "fax_number": "818-230-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760550735",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.