Individual provider Active NPI

Lamberto Salud Olaes, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1861592982
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A39580 Issued in CA
Practice address
1267 N Virgil Ave
Los Angeles, CA 90029-2017
Phone
(323) 664-7628
Fax
(323) 664-7647
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A39580 CA Primary

Addresses

Primary practice location

1267 N Virgil Ave
Los Angeles, CA 90029-2017

Mailing address

1267 N Virgil Ave
Los Angeles, CA 90029-2017
Phone (323) 664-7628

Other identifiers 1

IdentifierTypeStateIssuer
OOA395800MedicaidCA

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
I20100922000948 CA Practitioner - Internal Medicine 8022134402 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39580CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Medical Corporation CurrentSince Aug 1, 2021 Accepting new patients

Locations

1267 N Virgil Ave
Los Angeles, CA 90029
Phone (323) 664-7628

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24860/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1861592982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292017",
            "telephone_number": "323-664-7628",
            "fax_number": "323-664-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292017",
            "telephone_number": "323-664-7628",
            "fax_number": "323-664-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAES",
        "first_name": "LAMBERTO",
        "middle_name": "SALUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA395800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.