Individual provider Active NPI

Angeles Losada, MD, PHD

  • Internal Medicine Physician
  • Chowchilla, CA
National Provider Identifier
1972628931
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49228 Issued in CA
Practice address
23370 Road 22
Chowchilla, CA 93610-8504
Phone
(559) 665-5531
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME75913 FL
Internal Medicine Physician 207R00000X A49228 CA Primary

Addresses

Primary practice location

23370 Road 22
Chowchilla, CA 93610-8504

Mailing address

4655 Cass St Ste 112
San Diego, CA 92109-2810
Phone (786) 419-2022

Other practice location 1

4655 Cass St Ste 112
San Diego, CA 92109-2810
Phone (786) 419-2022

Other identifiers 1

IdentifierTypeStateIssuer
279012200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200626000592 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6305926882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49228CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1972628931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 CASS ST STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092810",
            "telephone_number": "786-419-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23370 ROAD 22",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936108504",
            "telephone_number": "559-665-5531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4655 Cass St Ste 112",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921092810",
            "country_code": "US",
            "telephone_number": "786-419-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOSADA",
        "first_name": "ANGELES",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME75913",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279012200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chowchilla, CA

Sources for this page

Verify at the official NPI Registry.