Individual provider Active NPI

George In, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1902835077
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A48565 Issued in CA
Practice address
500 S Virgil Ave Ste 501
Los Angeles, CA 90020-1450
Phone
(323) 735-7700
Fax
(213) 380-8202
NPI assigned
Jul 1, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A48565 CA Primary

Addresses

Primary practice location

500 S Virgil Ave Ste 501
Los Angeles, CA 90020-1450

Mailing address

500 S Virgil Ave Ste 501
Los Angeles, CA 90020-1450
Phone (323) 735-7700

Other identifiers 1

IdentifierTypeStateIssuer
00A485650MedicaidCA

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
I20060830000338 CA Practitioner - Family Practice 6901800192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 S Virgil Ave
Suite 501
Los Angeles, CA 90020-1450
Phone (323) 735-7700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48565CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George C. in, M.D., Inc. Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Foothill Plaza Medical Group Family Medicine Past Accepting new patients

Locations

3130 W Olympic Blvd
Ste 310
Los Angeles, CA 90006
Phone (213) 703-8220

500 S Virgil Ave
Ste 501
Los Angeles, CA 90020
Phone (323) 735-7700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drin@georgeinmd.ssdirect.aprima.com

Organizations & group practices 4

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1902835077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201450",
            "telephone_number": "323-735-7700",
            "fax_number": "213-380-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201450",
            "telephone_number": "323-735-7700",
            "fax_number": "213-380-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IN",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A485650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.