Melvin Lazaro Agatep, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A047785 Issued in CA

Practice address

2503 Beverly Blvd
Ste. #2
Los Angeles, CA 90057-1024

Phone

(213) 368-9283

Fax

(213) 368-0478

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Nephrology

Education

Loma Linda University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barlow Respiratory Hospital Long-term care hospital, Los Angeles, CA, CCN 052031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rampart Multi-Specialty Medical Group Inc

  • Cardiovascular Disease Physician
  • Carson, CA
  • NPI 1801000245
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barlow Respiratory Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1851368369

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851440036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 ALLEN AVE",
            "address_2": "STE. #103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013330",
            "telephone_number": "818-840-0371",
            "fax_number": "818-840-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BEVERLY BLVD",
            "address_2": "STE. #2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571024",
            "telephone_number": "213-368-9283",
            "fax_number": "213-368-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGATEP",
        "first_name": "MELVIN",
        "middle_name": "LAZARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A047785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manyoo Agarwal, M.D.,
• Neha Agarwal, MD
• Savi Agarwal
• Angeli O. Agatep, MD
• Christian Mark Epilogo Agatep
• Atu Agawu, M.D. M.P.H
• Arline B. Agay, M.F.T.
• Sean Agazanof, PHARMD
• Erika Agbabian, MA, LMFT
• Chidimmah Onyinye Agbasi, LVN

• Nephrology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.