Edgardo M Capitulo (NPI# 1164454385, PAC ID# 8921009408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1164454385 |
| PAC ID by PECOS | 8921009408 |
| Professional Enrollment ID | I20070125000504 |
| Full Name | Edgardo M Capitulo |
| Address |
1411 W Sunset Blvd Suite 203 Los Angeles CA 90026-3431 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050663 | LOS ANGELES COMMUNITY HOSPITAL |
| 050641 | EAST LOS ANGELES DOCTORS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1411 W Sunset Blvd, Suite 203, Los Angeles, CA 90026-3431 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Street Address |
1411 W SUNSET BLVD SUITE 203 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90026-3431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Masoud Rahban | Infectious Disease | 5901 W Olympic Blvd, Suite 307, Los Angeles, CA 90026 | |
| Irene Gabriel-thomas | Chiropractic | 1724 W Silver Lake Dr, Los Angeles, CA 90026-1232 | |
| Imani J Walker | General Practice | Gateways Hospital and Mental Health | 1891 Effie St, Los Angeles, CA 90026-1711 |
| Arthur Kopp | Psychiatry | Gateways Hospital and Mental Health | 1891 Effie St, Los Angeles, CA 90026-1711 |
| Thomas Lim | Podiatry | 2711 W Sunset Blvd, Los Angeles, CA 90026-2101 | |
| Schlomo Schmuel | Podiatry | 2711 W Sunset Blvd, Los Angeles, CA 90026-2101 | |
| Thomas Joseph Ledesma-wiant | Optometry | De La Pena Eye Clinic, Amg, Inc.. | 139 S Alvarado St, Los Angeles, CA 90026-2201 |
| Raj K Shah | Diagnostic Radiology | Lin Radiological Associates | 2000 Stadium Way, Los Angeles, CA 90026-2606 |
| Brenda E Jones | Infectious Disease | 2000 Stadium Way, Los Angeles, CA 90026-2606 | |
| Dustin Newell | Diagnostic Radiology | Lin Radiological Associates | 2000 Stadium Way, Los Angeles, CA 90026-2606 |
| Find all physicians in zip 90026 | |||
| City | LOS ANGELES |
| Zip Code | 90026 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LOS ANGELES + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Edgardo M Capitulo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.