Active NPI
Jose Ponce, D.P.M.
- Podiatrist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5186
- Practice address
- 5901 E 7TH St
Long Beach, CA 90822-5201 - Phone
- (562) 826-8000
- NPI assigned
- Jul 10, 2012
- Last updated
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E5186 | CA | Primary |
Addresses
Primary practice location
5901 E 7TH St
Long Beach, CA 90822-5201
Mailing address
1701E Cesar E Chavez Ave 510
Los Angeles, CA 90033-2488
Phone (323) 987-1309
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Arizona Podiatric Med Program at Midwestern Un, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 E Cesar E Chavez Ave
Los Angeles, CA 90033-2488
Phone (323) 987-1362
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.02 of 100
- Quality
- 69.82
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 67.76
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 518 |
| Removal of nail tissue | 237 |
| Removal or shaving of skin growth | 480 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5186 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Memorial Medical Group, Inc. | Podiatrist | Current | Accepting new patients |
Locations
1701 E Cesar E Chavez Ave
Ste 510
Los Angeles, CA 90033
Phone (323) 987-1309
1701 E Cesar E Chavez Ave
Ste 532
Los Angeles, CA 90033
Phone (323) 545-3522
1701 E Cesar E Chavez Ave
Ste 536
Los Angeles, CA 90033
Phone (323) 264-4300
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
1828 E Cesar E Chavez Ave
Ste 4600
Los Angeles, CA 90033
Phone (323) 307-8585
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jose.ponce.1@27758.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1689769374
Podiatrist
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prime Nursing Services Inc
- Home Health Agency
- Los Angeles, CA
- NPI 1962409813
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1922363431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701E CESAR E CHAVEZ AVE 510",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332488",
"telephone_number": "323-987-1309",
"fax_number": "323-343-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E 7TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "562-826-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "JOSE",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.