Active NPI
Patrick Losasso, CSCS, CPT
- Specialist
- Los Angeles, CA
National Provider Identifier
1841589181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- T67767
- Practice address
- 1167 Montecito Dr
Los Angeles, CA 90031-1651 - Phone
- (323) 422-9794
- Fax
- (323) 222-6952
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | T67767 | CA | Primary |
Addresses
Primary practice location
1167 Montecito Dr
Los Angeles, CA 90031-1651
Mailing address
1167 Montecito Dr
Los Angeles, CA 90031-1651
Phone (323) 422-9794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T67767 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1841589181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 MONTECITO DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900311651",
"telephone_number": "323-422-9794",
"fax_number": "323-222-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 MONTECITO DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900311651",
"telephone_number": "323-422-9794",
"fax_number": "323-222-6952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSASSO",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "CSCS, CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "T67767",
"primary": true
}
],
"identifiers": [],
"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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.