- Medicare Primary Care in Los Angeles, CA

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is a medicare enrolled primary clinic (General Practice) in Los Angeles, California. The current practice location for is 11103 Venice Blvd, Los Angeles, California. For appointments, you can reach them via phone at (954) 923-7440. The mailing address for is 200 S Park Rd Ste 200, Hollywood, Florida and phone number is (954) 923-7440.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518309368. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 923-7440.

Contact Information

11103 Venice Blvd
Los Angeles
CA 90034-6914
(954) 923-7440
(954) 923-1299

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityGeneral Practice
Location11103 Venice Blvd, Los Angeles, California
Authorized Official Name and PositionMinghsun Liu (MEDICAL DIRECTOR)
Authorized Official Contact9549237440
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

200 S Park Rd Ste 200
Hollywood
FL 33021-8541

Ph: (954) 923-7440
11103 Venice Blvd
Los Angeles
CA 90034-6914

Ph: (954) 923-7440

NPI Details:

NPI Number1518309368
Provider Enumeration Date07/22/2013
Last Update Date04/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6608004775
Medicare Enrollment IDO20140117000335

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518309368NPI-NPPES
A85950OtherCAMEDICAL BOARD OF CALIFORNIA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameStanley Lowe
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083627285
PECOS PAC ID: 3678567435
Enrollment ID: I20040413001755
Provider NameBeatriz A Vega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881600674
PECOS PAC ID: 8426059163
Enrollment ID: I20070124000341
Provider NameDeborah Louise Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174774368
PECOS PAC ID: 3971664640
Enrollment ID: I20081213000019
Provider NameKaren L Ingram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487831608
PECOS PAC ID: 2466517024
Enrollment ID: I20090220000078
Provider NameNima Yavari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033355904
PECOS PAC ID: 9931266236
Enrollment ID: I20090331000210
Provider NameErvin Tagarao Vergara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861585150
PECOS PAC ID: 7113073917
Enrollment ID: I20090921000129
Provider NameKaren S Pabalan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487971404
PECOS PAC ID: 7810021995
Enrollment ID: I20100811000221
Provider NameMinghsun Liu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1518096270
PECOS PAC ID: 3577626803
Enrollment ID: I20100917000562
Provider NameKathryn A Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538332325
PECOS PAC ID: 7719142793
Enrollment ID: I20120625000258
Provider NameJeffrey Lee Galitz
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1861485112
PECOS PAC ID: 2567358484
Enrollment ID: I20140421000822
Provider NameAnn M Whaley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831595966
PECOS PAC ID: 3971818691
Enrollment ID: I20150810002571
Provider NameShaheen Emmanuel Lakhan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1649585944
PECOS PAC ID: 4082937255
Enrollment ID: I20151105000541
Provider NameTyisha Renee Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144687047
PECOS PAC ID: 4981909827
Enrollment ID: I20160301002131
Provider NameDodjie S Hilario
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942634159
PECOS PAC ID: 9638475031
Enrollment ID: I20160310002373
Provider NameTara Marchido
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922350255
PECOS PAC ID: 3779870621
Enrollment ID: I20160921001398
Provider NameEunice Marie Gomez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841608015
PECOS PAC ID: 2163790692
Enrollment ID: I20170623002377
Provider NameIbarra G Diangkinay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154785673
PECOS PAC ID: 1759656507
Enrollment ID: I20171101000642
Provider NameElizabeth W Mburu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154726974
PECOS PAC ID: 8628338837
Enrollment ID: I20180208001747
Provider NameMichael S Radi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861989790
PECOS PAC ID: 8325393440
Enrollment ID: I20180613002723
Provider NameCleotilde V Zamora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821545070
PECOS PAC ID: 2264787175
Enrollment ID: I20180618002512
Provider NameRainford Poyser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568833564
PECOS PAC ID: 0941587711
Enrollment ID: I20180619001226
Provider NameMahvash Soltani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407354392
PECOS PAC ID: 1254687940
Enrollment ID: I20180711001412
Provider NameJustin S Ching
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780057463
PECOS PAC ID: 9931455490
Enrollment ID: I20180713000779
Provider NameDenise L Mah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083114508
PECOS PAC ID: 5890604532
Enrollment ID: I20180809005795
Provider NameAgnes Arorong Esteva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619482718
PECOS PAC ID: 2163774563
Enrollment ID: I20181012002244
Provider NameMaxine C Okafor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710404306
PECOS PAC ID: 6103160411
Enrollment ID: I20190103002934
Provider NameNancy Mwania
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730681602
PECOS PAC ID: 5395083695
Enrollment ID: I20190212001757
Provider NameShiva Bakhtiari Ahmadi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356873715
PECOS PAC ID: 1052686953
Enrollment ID: I20190216000040
Provider NameBelinda A Addo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437517489
PECOS PAC ID: 6800182072
Enrollment ID: I20190710002326
Provider NameBor-han Chiu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1306239470
PECOS PAC ID: 2466758933
Enrollment ID: I20190722000766
Provider NamePayam Ebizadeh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306351895
PECOS PAC ID: 1759715907
Enrollment ID: I20191223001160
Provider NameAlana M Swift
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497399430
PECOS PAC ID: 8224464805
Enrollment ID: I20200129002133
Provider NameHarmeet K Gill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578049128
PECOS PAC ID: 6305276098
Enrollment ID: I20200421000802
Provider NameJianhong He
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699278978
PECOS PAC ID: 8628408325
Enrollment ID: I20200421001081
Provider NameEmma J Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255809372
PECOS PAC ID: 3274963913
Enrollment ID: I20200421003102
Provider NameMelissa Mustafa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639715477
PECOS PAC ID: 5294153532
Enrollment ID: I20200917002623
Provider NameChinomso Mpumechi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467963165
PECOS PAC ID: 3870913957
Enrollment ID: I20201009002323
Provider NameAnna Sabrina Paningbatan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063015162
PECOS PAC ID: 4688898554
Enrollment ID: I20210205001672
Provider NameArmine Gukasyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881280295
PECOS PAC ID: 4183031149
Enrollment ID: I20210318002864
Provider NameMutya Joyce B De Guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851933980
PECOS PAC ID: 4587071154
Enrollment ID: I20210326000427
Provider NameFavour C Olekanma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205415353
PECOS PAC ID: 8022418607
Enrollment ID: I20210618001214
Provider NamePeace Kwamboka Moenga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194305623
PECOS PAC ID: 9436256419
Enrollment ID: I20210622000574
Provider NameMunir Khan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316510332
PECOS PAC ID: 9133524119
Enrollment ID: I20210830001821
Provider NameLeesa Simanton Booth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043899099
PECOS PAC ID: 3476945320
Enrollment ID: I20220126001906
Provider NameMarco Juarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295490209
PECOS PAC ID: 6204125438
Enrollment ID: I20220126002323
Provider NameShaghayegh Oveis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154089555
PECOS PAC ID: 4183018948
Enrollment ID: I20220222001336
Provider NameAlekseky Inokhodov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306506126
PECOS PAC ID: 0244625770
Enrollment ID: I20220321001707
Provider NameJessila Woodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154787497
PECOS PAC ID: 0547551038
Enrollment ID: I20220414000946
Provider NameApril Arra Mendoza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821228503
PECOS PAC ID: 5890182919
Enrollment ID: I20220420000622
Provider NameBernadette De Guzman Mercado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659042596
PECOS PAC ID: 1658768148
Enrollment ID: I20220502002047
Provider NameRosy Isela Javier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780255216
PECOS PAC ID: 1355729344
Enrollment ID: I20220603000001
Provider NameSally Sayasa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396497087
PECOS PAC ID: 3375922651
Enrollment ID: I20220616000548
Provider NameMonica Cruz Araneta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093450876
PECOS PAC ID: 0547649618
Enrollment ID: I20220620001786
Provider NameAna B Meza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750024816
PECOS PAC ID: 9335528926
Enrollment ID: I20220628003017
Provider NameYuko Hyunsoo Sweatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487116869
PECOS PAC ID: 1456684455
Enrollment ID: I20220808001599
Provider NameHeather Marie Keaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124780408
PECOS PAC ID: 6406231562
Enrollment ID: I20220910000443
Provider NameKenyawn J Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265659247
PECOS PAC ID: 0547645855
Enrollment ID: I20220921004013
Provider NameTamayo Murayama
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093436552
PECOS PAC ID: 8527434794
Enrollment ID: I20221013002113
Provider NameSirorat Krogstad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427770213
PECOS PAC ID: 5991171332
Enrollment ID: I20221026001271
Provider NameJenniefer Chong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588218523
PECOS PAC ID: 3577938331
Enrollment ID: I20230407001871
Provider NameHolly Vanderhyde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033773379
PECOS PAC ID: 8426415480
Enrollment ID: I20230606002880
Provider NameAnnette Grace Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013634823
PECOS PAC ID: 7416314349
Enrollment ID: I20230607002108
Provider NameOlga Auten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720692130
PECOS PAC ID: 2264891670
Enrollment ID: I20230703001949
Provider NameConrado A Guadiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942937768
PECOS PAC ID: 2769846948
Enrollment ID: I20230907001538
Provider NameTamara Sue Pippin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508569567
PECOS PAC ID: 8628422532
Enrollment ID: I20231012000085
Provider NamePreston Kyle Lonis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285254623
PECOS PAC ID: 1951758366
Enrollment ID: I20231107001678
Provider NameMaria Nina Campos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770284937
PECOS PAC ID: 2668821323
Enrollment ID: I20231207001146
Provider NameIvy Oliveros Caparroso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093495541
PECOS PAC ID: 1658720230
Enrollment ID: I20231207002299
Provider NameDeante J. Markey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982393716
PECOS PAC ID: 6901256569
Enrollment ID: I20231221003041
Provider NameRoxana Briscoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740067958
PECOS PAC ID: 4981040086
Enrollment ID: I20240312001481
Provider NameAudrey C Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811753676
PECOS PAC ID: 8729425822
Enrollment ID: I20240325003981
Provider NameManon Gabrielle Vrain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710123427
PECOS PAC ID: 6002253077
Enrollment ID: I20240326002647
Provider NameLiliya Shamilyevna Urena
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043071087
PECOS PAC ID: 8820435837
Enrollment ID: I20240326004288
Provider NameSima Siddiq
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619467925
PECOS PAC ID: 7517307945
Enrollment ID: I20240501003302
Provider NameYevgeniy Glukhovsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013566520
PECOS PAC ID: 2365985249
Enrollment ID: I20240620000430
Provider NameMargaret E Hashaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174385389
PECOS PAC ID: 0941745848
Enrollment ID: I20240716001850
Provider NameIkechukwu Charles Nwabuobi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083283634
PECOS PAC ID: 5799221115
Enrollment ID: I20240722003597
Provider NameNapoleon Escalante Villasis Jr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437834603
PECOS PAC ID: 3577094382
Enrollment ID: I20241003003800
Provider NameCesar Chavez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821837352
PECOS PAC ID: 7416481890
Enrollment ID: I20241107001271

Reviews and Comments


General Practice in Los Angeles, CA

Joseph I Kang Md Inc
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Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004
Phone: 323-664-7777    

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Medicare: Not Enrolled in Medicare
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Phone: 323-234-6300    

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Medicare: Not Enrolled in Medicare
Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011
Phone: 213-553-1800    
John L Sherman Md Amc
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Medicare: Medicare Enrolled
Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048
Phone: 310-855-8081    Fax: 310-855-0438

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040
Phone: 323-725-8751    Fax: 323-889-7399
Altamed Health Services Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022
Phone: 323-832-7527    Fax: 323-832-7599

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005
Phone: 213-201-1623    Fax: 213-201-1595

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.