Individual provider Active NPI

Alberto V Natividad, MD

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1851464838
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A40458 Issued in CA
Practice address
1711 W Temple St
Suite 3200
Los Angeles, CA 90026-5421
Phone
(213) 989-1951
Fax
(213) 989-1987
NPI assigned
Nov 16, 2006
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A40458 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 3200
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St
Suite 3200
Los Angeles, CA 90026-5421
Phone (213) 989-1951

Other identifiers 1

IdentifierTypeStateIssuer
00A404580MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000475 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Pediatric Medicine 2466443213 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40458CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto V Natividad M D Inc General Practice CurrentSince Mar 17, 2014 Accepting new patients
Clinica Medica Dr Juan Escobar Inc CurrentSince Aug 1, 2021 Accepting new patients
BVC Therapy Group PastSince Jul 24, 2022 Accepting new patients
Jorge L Moran MD Inc General Practice Past Accepting new patients
Marshak Medical Group Inc Past Accepting new patients

Locations

1711 W Temple St
Ste 3200
Los Angeles, CA 90026
Phone (213) 989-1951

1711 W Temple St
Ste 3695
Los Angeles, CA 90026
Phone (213) 989-0700

Interoperability endpoints

  • Direct secure messaging: a.natividad@cmdje-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1851464838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-1951",
            "fax_number": "213-989-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-1951",
            "fax_number": "213-989-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "ALBERTO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A404580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.