Dr Bradley De Souza, MD in Los Angeles, CA

Dr Bradley De Souza, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Los Angeles, California. His current practice location is 4650 W Sunset Blvd # Ms 12, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 660-2450.

Dr Bradley De Souza is licensed to practice in California (license number A169202) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033643606.

Contact Information

	Dr Bradley De Souza, MD
	4650 W Sunset Blvd # Ms 12, Los Angeles, CA 90027-6062
	(323) 660-2450
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bradley De Souza
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	4650 W Sunset Blvd # Ms 12, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033643606
Provider Enumeration Date: 04/20/2017
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 5799194239
Enrollment ID: I20210512002847

Medical Identifiers

Medical identifiers for Dr Bradley De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033643606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	270332 (Massachusetts)	Secondary
208000000X	Pediatrics	270332 (Massachusetts)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	A169202 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bradley De Souza allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley De Souza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bradley De Souza, MD 4650 W Sunset Blvd # Ms 12, Los Angeles, CA 90027-6062 Ph: (323) 660-2450	Dr Bradley De Souza, MD 4650 W Sunset Blvd # Ms 12, Los Angeles, CA 90027-6062 Ph: (323) 660-2450

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Dr Bradley De Souza, MD - Medicare Pediatrics in Los Angeles, CA