Individual provider Active NPI

John J Plosay III, MD

  • Sports Medicine (Emergency Medicine) Physician
  • El Segundo, CA
National Provider Identifier
1871517953
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
MD428836 Issued in PA
Practice address
1700 E Walnut Ave
Suite 250
El Segundo, CA 90245-2605
Phone
(800) 882-9212
NPI assigned
Jul 26, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X MD428836 PA Primary

Addresses

Primary practice location

1700 E Walnut Ave
Suite 250
El Segundo, CA 90245-2605

Mailing address

1322 Annandale Ter
Pasadena, CA 91105-2262
Phone (626) 403-0071

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
I20050718000999 CA Practitioner - Emergency Medicine 9133156599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Emergency Physicians IncGroup PAC ID 4981885951, 26 clinicians

Practice addresses (Care Compare)

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62782CAMDPharmacy Technician
MD428836PAMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Emergency Physicians Inc CurrentSince Feb 1, 2026 Accepting new patients
Victory Emergency Physicians Medical Group Inc CurrentSince Jan 1, 2011 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1720 E Cesar E Chavez Ave
#C
Los Angeles, CA 90033
Phone (213) 268-5000

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1871517953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ANNANDALE TER",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052262",
            "telephone_number": "626-403-0071",
            "fax_number": "626-403-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E WALNUT AVE",
            "address_2": "SUITE 250",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452605",
            "telephone_number": "800-882-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOSAY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD428836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.