Active NPI 1841489440 Individual Practitioner Male Practitioner

Dr. Jack Azad , MD

General Practice • Los Angeles, CA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jack Azad, MD is a certified General Practice practicing in Los Angeles, CA. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Azad delivers high-quality medical care to the local community at 11900 AVALON BLVD.

Dr. Azad does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include carepatch, per square centimeter, complete ft, per square centimeter, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11900 Avalon Blvd
#100

Los Angeles, CA 900612867

Telephone 3237561317

Fax 3237564015

Associated Practice Facility / Clinic

🏢 The Pajo Corporation Facility NPI 1649307869

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Los Angeles, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +1.5 yrs vs City Avg

City Avg: 33.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

208 Specialists

Practicing in Los Angeles, CA (2300 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Azad (35 Years) 35 Yrs

Los Angeles Specialty Average (33.5 Years) 33.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4236 Carepatch, per square centimeter	9,695	51	$1160.94	$789.95
Q4271 Complete ft, per square centimeter	5,038	61	$2140.51	$1664.02
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	3,703	530	$399.12	$132.78
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	2,358	614	$29.00	$13.17
92540 Evaluation and testing for balance with recording	2,346	611	$395.00	$108.79
92546 Test for abnormal eye movement using a rotating chair	1,689	602	$486.00	$142.20
93923 Complete ultrasound study of arm and leg arteries	1,613	593	$346.00	$138.57
97610 Therapy procedure using ultrasound	1,270	106	$1650.00	$494.96
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	1,227	566	$193.00	$91.00
95923 Testing of autonomic (sympathetic) nervous system function	1,225	564	$372.00	$128.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,191	205	$296.04	$113.47
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	1,181	257	$509.78	$244.71
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	1,123	477	$260.62	$80.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	867	162	$289.00	$113.69
11042 Removal of skin and tissue, 20.0 sq cm or less	707	196	$264.79	$117.72
17250 Application of chemical to stop tissue regrowth in wound	575	94	$188.82	$64.09
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	484	72	$441.68	$146.11
99442 Telephone medical discussion with physician, 11-20 minutes	484	311	$299.67	$97.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	395	149	$225.32	$180.91
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	259	38	$161.60	$76.91
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	252	51	$468.55	$153.48
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	216	34	$295.56	$88.63
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	207	207	$247.00	$81.10
99213 Established patient office or other outpatient visit, typically 15 minutes	204	118	$126.31	$90.54
97550 Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community, initial 30 minutes	194	90	$169.97	$56.25
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	190	53	$509.78	$152.71
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	189	29	$91.10	$43.03
17000 Destruction of skin growth	175	19	$151.14	$66.24
99344 New patient home visit, typically 1 hour	161	161	$520.31	$147.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	94	$142.88	$128.74
17110 Destruction of up to 14 skin growths	143	24	$254.96	$123.58
36415 Insertion of needle into vein for collection of blood sample	143	113	$13.99	$8.65
11042 Removal of skin and tissue, 20.0 sq cm or less	111	32	$264.88	$59.02
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	108	32	$179.12	$111.91
11044 Removal of bone, 20.0 sq cm or less	104	31	$696.80	$332.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	98	90	$224.19	$78.16
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	92	85	$650.00	$172.01
76770 Complete ultrasound scan behind abdominal cavity	87	80	$275.00	$114.31
93925 Ultrasound of leg arteries or artery grafts	86	79	$350.00	$255.03
99306 Initial nursing facility visit, typically 45 minutes per day	84	83	$363.40	$190.42
17250 Application of chemical to stop tissue regrowth in wound	81	28	$188.82	$28.39
93880 Ultrasound of both sides of head and neck blood flow	81	74	$300.00	$160.93
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	55	41	$346.32	$184.18
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	45	45	$597.41	$206.41
99497 Advance care planning, first 30 minutes	41	41	$153.12	$79.69
99306 Initial nursing facility visit, typically 45 minutes per day	38	36	$339.71	$190.31
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$99.53	$14.39
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	31	31	$199.22	$84.09
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	30	13	$161.60	$55.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	29	$90.57	$58.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	29	$284.24	$139.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	24	$224.19	$78.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$251.03	$168.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$250.00	$127.77
10060 Simple or single drainage of skin abscess	17	14	$265.30	$134.29
90460 Administration of first vaccine or toxoid component through 18 years of age with counseling	14	14	$40.00	$23.86
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	11	11	$90.84	$45.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4236 Carepatch, per square centimeter	13,081	78	$1310.59	$1211.48
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	4,291	600	$397.21	$135.03
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	1,953	365	$509.78	$247.58
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	1,950	562	$29.00	$14.01
92540 Evaluation and testing for balance with recording	1,947	562	$395.00	$120.25
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	1,636	560	$193.00	$98.28
95923 Testing of autonomic (sympathetic) nervous system function	1,630	560	$372.00	$140.57
Q4188 Amnioarmor, per square centimeter	1,588	33	$980.00	$964.33
92546 Test for abnormal eye movement using a rotating chair	1,465	555	$486.00	$147.94
93923 Complete ultrasound study of arm and leg arteries	1,406	550	$346.00	$148.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,400	186	$296.11	$113.72
97610 Therapy procedure using ultrasound	1,328	125	$1650.00	$524.22
11042 Removal of skin and tissue, 20.0 sq cm or less	960	257	$264.88	$113.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	878	221	$296.16	$113.79
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	861	416	$260.95	$80.81
17250 Application of chemical to stop tissue regrowth in wound	620	130	$188.82	$76.49
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	539	68	$447.00	$144.83
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	478	77	$161.60	$78.01
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	298	74	$179.12	$111.95
Q4236 Carepatch, per square centimeter	274	12	$1321.11	$1243.97
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	251	24	$252.00	$78.40
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	250	48	$471.00	$144.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	216	112	$225.00	$193.70
11044 Removal of bone, 20.0 sq cm or less	204	48	$696.80	$336.72
11047 Removal of bone, each additional 20.0 sq cm or less	199	17	$273.12	$128.44
17000 Destruction of skin growth	193	28	$151.14	$57.25
99344 New patient home visit, typically 1 hour	189	189	$541.46	$151.95
99213 Established patient office or other outpatient visit, typically 15 minutes	187	106	$125.00	$95.23
17110 Destruction of up to 14 skin growths	178	30	$254.96	$124.57
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	171	31	$91.10	$43.45
99442 Telephone medical discussion with physician, 11-20 minutes	152	146	$299.67	$98.29
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	123	123	$247.00	$82.12
36415 Insertion of needle into vein for collection of blood sample	116	100	$10.00	$8.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	114	92	$224.19	$79.26
15272 Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less	105	18	$84.00	$26.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$250.49	$140.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	49	$140.44	$137.84
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	85	39	$421.43	$196.68
99497 Advance care planning, first 30 minutes	85	85	$152.35	$88.02
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	82	64	$71.03	$45.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	80	71	$102.87	$57.52
99306 Initial nursing facility visit, typically 45 minutes per day	73	73	$363.90	$193.13
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	61	21	$509.78	$155.71
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	61	61	$199.22	$85.35
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	58	14	$447.00	$76.67
99306 Initial nursing facility visit, typically 45 minutes per day	55	55	$363.40	$192.92
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	52	50	$650.00	$185.70
93925 Ultrasound of leg arteries or artery grafts	51	49	$350.00	$279.23
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	46	26	$56.00	$51.83
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	46	26	$85.00	$67.97
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	42	20	$400.00	$135.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	26	$224.19	$79.32
93880 Ultrasound of both sides of head and neck blood flow	37	36	$300.00	$176.94
76770 Complete ultrasound scan behind abdominal cavity	34	32	$275.00	$125.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	28	21	$63.13	$59.28
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	27	27	$556.58	$214.72
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif	26	14	$100.26	$32.82
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$55.00	$15.41
76775 Limited ultrasound scan behind abdominal cavity	18	18	$195.00	$66.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$244.12	$176.53
90460 Administration of first vaccine or toxoid component through 18 years of age with counseling	15	14	$40.00	$25.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$284.24	$141.40
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	11	11	$247.00	$82.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	3,200	356	$295.89	$96.82
99336 Established patient assisted living visit, typically 40 minutes	3,008	345	$443.99	$143.42
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	2,849	439	$509.78	$245.65
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	2,641	361	$392.90	$136.53
Q4158 Kerecis omega3, per square centimeter	2,465	31	$560.53	$547.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,871	305	$265.58	$97.20
Q4188 Amnioarmor, per square centimeter	1,832	27	$650.72	$640.24
97610 Therapy procedure using ultrasound	1,383	103	$1650.00	$539.87
11042 Removal of skin and tissue, 20.0 sq cm or less	1,232	292	$264.88	$115.29
95923 Testing of autonomic (sympathetic) nervous system function	1,136	290	$372.00	$146.33
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	1,136	290	$193.00	$101.65
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	1,126	290	$29.00	$13.96
92540 Evaluation and testing for balance with recording	1,118	287	$395.00	$124.37
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	1,030	107	$161.60	$80.38
17250 Application of chemical to stop tissue regrowth in wound	894	141	$188.82	$81.01
92546 Test for abnormal eye movement using a rotating chair	830	284	$486.00	$147.27
93923 Complete ultrasound study of arm and leg arteries	822	284	$346.00	$151.33
11047 Removal of bone, each additional 20.0 sq cm or less	589	54	$273.12	$130.52
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	489	59	$252.00	$84.59
99213 Established patient office or other outpatient visit, typically 15 minutes	474	195	$125.00	$99.28
11044 Removal of bone, 20.0 sq cm or less	448	102	$696.80	$341.61
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	383	118	$85.00	$68.89
99335 Established patient assisted living visit, typically 25 minutes	296	169	$311.00	$101.29
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	271	68	$56.00	$52.31
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	262	92	$171.68	$114.71
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	255	40	$445.25	$145.76
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	254	44	$91.10	$45.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	223	174	$224.19	$73.55
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	206	168	$218.03	$190.21
99358 Prolonged patient service without direct patient contact first hour	198	192	$399.18	$117.02
17000 Destruction of skin growth	194	36	$151.14	$66.15
99344 New patient home visit, typically 1 hour	189	189	$471.10	$191.31
17110 Destruction of up to 14 skin growths	159	32	$254.96	$125.39
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	140	79	$63.13	$60.96
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	121	116	$150.00	$68.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	83	$140.00	$138.84
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	108	23	$471.00	$149.56
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	95	95	$609.00	$195.69
36415 Insertion of needle into vein for collection of blood sample	86	76	$10.00	$2.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	86	78	$90.45	$58.93
99325 New patient assisted living visit, typically 30 minutes	82	82	$262.00	$83.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$250.00	$142.95
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	73	63	$70.78	$45.93
99306 Initial nursing facility visit, typically 45 minutes per day	69	69	$363.40	$175.17
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	66	64	$650.00	$194.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	55	37	$509.78	$154.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	53	53	$284.24	$135.97
93925 Ultrasound of leg arteries or artery grafts	52	51	$350.00	$288.05
99306 Initial nursing facility visit, typically 45 minutes per day	50	50	$363.40	$174.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	50	50	$199.22	$94.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	44	31	$212.60	$73.49
93880 Ultrasound of both sides of head and neck blood flow	34	33	$300.00	$193.03
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	34	14	$97.74	$46.44
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	32	11	$161.60	$58.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	31	$284.24	$136.64
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	32	15	$97.74	$46.42
76770 Complete ultrasound scan behind abdominal cavity	27	27	$275.00	$128.20
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	27	25	$1192.00	$390.77
99326 New patient assisted living visit, typically 45 minutes	25	25	$455.00	$144.73
17250 Application of chemical to stop tissue regrowth in wound	24	17	$188.82	$28.00
93000 Routine ekg using at least 12 leads including interpretation and report	24	22	$55.00	$15.94
99343 New patient home visit, typically 45 minutes	23	23	$387.30	$131.97
10060 Simple or single drainage of skin abscess	20	16	$246.27	$127.46
99497 Advance care planning, first 30 minutes	14	14	$159.14	$90.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$254.84	$183.19
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$264.88	$40.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	3,926	341	$396.29	$139.18
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	3,568	364	$509.78	$255.48
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	2,833	148	$161.60	$81.46
99336 Established patient assisted living visit, typically 40 minutes	2,051	284	$444.00	$145.95
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,914	279	$200.36	$98.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,409	236	$280.34	$98.48
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	1,214	381	$193.00	$102.29
95923 Testing of autonomic (sympathetic) nervous system function	1,213	381	$372.00	$152.31
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	1,207	381	$29.00	$14.21
99213 Established patient office or other outpatient visit, typically 15 minutes	1,204	286	$125.00	$97.14
92540 Evaluation and testing for balance with recording	1,097	367	$395.00	$124.23
11042 Removal of skin and tissue, 20.0 sq cm or less	1,004	223	$264.88	$118.51
93923 Complete ultrasound study of arm and leg arteries	910	367	$346.00	$155.40
92546 Test for abnormal eye movement using a rotating chair	826	344	$486.00	$140.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	593	237	$213.95	$74.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	579	224	$151.47	$74.72
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	508	137	$160.16	$115.78
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	473	96	$509.78	$162.21
11044 Removal of bone, 20.0 sq cm or less	463	55	$696.80	$346.45
11047 Removal of bone, each additional 20.0 sq cm or less	458	32	$273.12	$133.79
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	455	141	$63.69	$61.29
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	420	42	$161.60	$59.20
17250 Application of chemical to stop tissue regrowth in wound	414	72	$188.82	$85.90
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	377	196	$225.93	$192.17
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	359	51	$91.10	$46.08
99335 Established patient assisted living visit, typically 25 minutes	302	125	$311.00	$103.19
99344 New patient home visit, typically 1 hour	202	202	$522.67	$194.70
17110 Destruction of up to 14 skin growths	183	42	$254.96	$126.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	169	100	$67.71	$46.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$244.01	$146.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	146	126	$284.24	$139.21
99497 Advance care planning, first 30 minutes	143	143	$151.59	$92.75
36415 Insertion of needle into vein for collection of blood sample	134	103	$10.00	$3.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	133	107	$87.15	$59.03
11042 Removal of skin and tissue, 20.0 sq cm or less	111	54	$264.88	$55.11
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	98	96	$199.22	$96.45
17250 Application of chemical to stop tissue regrowth in wound	93	21	$188.82	$34.29
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	92	47	$261.00	$90.17
99326 New patient assisted living visit, typically 45 minutes	87	87	$455.00	$148.98
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	83	21	$252.00	$80.23
99325 New patient assisted living visit, typically 30 minutes	70	70	$262.00	$84.84
99306 Initial nursing facility visit, typically 45 minutes per day	68	68	$363.40	$178.90
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	59	53	$650.00	$203.48
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	58	58	$609.00	$199.87
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	55	53	$284.24	$139.18
93925 Ultrasound of leg arteries or artery grafts	55	51	$350.00	$300.59
93970 Ultrasound study of arm or leg veins with compression and maneuvers	54	51	$300.00	$184.20
17000 Destruction of skin growth	44	24	$151.14	$71.40
17110 Destruction of up to 14 skin growths	41	15	$254.96	$68.63
99306 Initial nursing facility visit, typically 45 minutes per day	39	39	$363.40	$178.66
76770 Complete ultrasound scan behind abdominal cavity	37	36	$275.00	$131.29
93880 Ultrasound of both sides of head and neck blood flow	37	36	$300.00	$193.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$145.56	$140.50
99343 New patient home visit, typically 45 minutes	32	32	$404.00	$136.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	30	30	$199.22	$96.50
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$55.00	$16.51
10060 Simple or single drainage of skin abscess	26	18	$257.98	$95.23
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	22	19	$297.40	$145.92
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	17	$97.74	$47.52
11102 Tangential biopsy of single skin lesion	15	14	$373.92	$117.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$251.74	$184.79
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	11	11	$296.57	$236.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	2,189	88	$161.60	$82.18
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	2,144	217	$509.78	$256.45
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	2,117	187	$393.56	$141.23
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	1,582	572	$29.00	$14.19
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	1,582	572	$193.00	$97.92
95923 Testing of autonomic (sympathetic) nervous system function	1,580	570	$372.00	$148.67
92540 Evaluation and testing for balance with recording	1,577	572	$395.00	$120.51
92546 Test for abnormal eye movement using a rotating chair	1,370	562	$486.00	$131.24
93923 Complete ultrasound study of arm and leg arteries	1,281	520	$346.00	$153.87
99336 Established patient assisted living visit, typically 40 minutes	1,108	153	$444.00	$147.85
99213 Established patient office or other outpatient visit, typically 15 minutes	998	283	$125.13	$81.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	973	135	$200.26	$100.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	873	147	$200.26	$100.40
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	806	274	$212.49	$195.07
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	476	141	$161.98	$117.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	399	135	$151.34	$76.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	346	122	$151.34	$76.14
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	270	16	$91.10	$46.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	268	268	$239.16	$129.48
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	264	122	$64.57	$61.78
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	244	59	$509.78	$164.48
99497 Advance care planning, first 30 minutes	236	236	$150.00	$93.96
11047 Removal of bone, each additional 20.0 sq cm or less	233	16	$273.12	$135.88
36415 Insertion of needle into vein for collection of blood sample	212	161	$10.00	$2.98
11042 Removal of skin and tissue, 20.0 sq cm or less	202	68	$264.88	$118.81
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	171	114	$67.82	$46.18
17110 Destruction of up to 14 skin growths	150	36	$254.96	$120.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	142	123	$87.17	$59.49
11044 Removal of bone, 20.0 sq cm or less	140	24	$696.80	$351.13
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	132	132	$257.33	$240.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	98	$148.79	$120.46
99344 New patient home visit, typically 1 hour	119	119	$479.74	$199.06
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	116	24	$161.60	$60.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	86	86	$284.24	$141.61
93925 Ultrasound of leg arteries or artery grafts	85	80	$350.00	$297.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	70	68	$650.00	$208.73
99335 Established patient assisted living visit, typically 25 minutes	69	43	$311.00	$104.80
11042 Removal of skin and tissue, 20.0 sq cm or less	68	32	$264.88	$54.75
76770 Complete ultrasound scan behind abdominal cavity	63	61	$275.00	$130.24
17250 Application of chemical to stop tissue regrowth in wound	61	18	$188.82	$88.47
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	58	56	$199.22	$97.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	54	53	$284.24	$141.37
99325 New patient assisted living visit, typically 30 minutes	46	46	$262.00	$86.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers	45	44	$300.00	$182.12
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	37	37	$609.00	$203.40
99326 New patient assisted living visit, typically 45 minutes	36	36	$455.00	$151.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$261.93	$180.44
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	33	$199.22	$97.80
93880 Ultrasound of both sides of head and neck blood flow	28	28	$300.00	$189.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$450.00	$228.54
99306 Initial nursing facility visit, typically 45 minutes per day	18	18	$363.40	$182.75
93000 Routine ekg using at least 12 leads including interpretation and report	18	16	$55.00	$18.63
76872 Ultrasound scan of pelvic region through rectum	16	16	$200.00	$166.37
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	15	12	$261.00	$91.96
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$363.40	$182.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$250.00	$190.12
76536 Ultrasound of head and neck	12	12	$150.00	$134.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	2,462	1,011	$193.00	$93.55
95923 Testing of autonomic (sympathetic) nervous system function	2,460	1,010	$372.00	$146.77
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	2,443	1,000	$29.00	$13.98
92540 Evaluation and testing for balance with recording	2,252	934	$395.00	$115.16
92546 Test for abnormal eye movement using a rotating chair	2,077	935	$486.00	$121.29
93923 Complete ultrasound study of arm and leg arteries	1,943	883	$346.00	$152.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,005	416	$140.40	$119.25
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	940	376	$144.53	$116.93
99213 Established patient office or other outpatient visit, typically 15 minutes	505	217	$125.30	$81.71
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	365	365	$257.33	$237.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	327	296	$83.59	$58.66
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	321	227	$209.38	$191.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	273	227	$66.99	$45.84
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	249	240	$650.00	$204.91
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	235	205	$74.28	$60.30
93925 Ultrasound of leg arteries or artery grafts	225	218	$350.00	$297.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	212	210	$85.00	$45.43
36415 Insertion of needle into vein for collection of blood sample	206	186	$10.00	$2.94
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	188	186	$150.00	$68.52
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	145	136	$210.69	$139.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$218.33	$126.18
99344 New patient home visit, typically 1 hour	131	131	$300.22	$195.32
99497 Advance care planning, first 30 minutes	112	112	$200.00	$91.79
93880 Ultrasound of both sides of head and neck blood flow	104	102	$300.00	$189.76
76770 Complete ultrasound scan behind abdominal cavity	95	90	$275.00	$128.55
76872 Ultrasound scan of pelvic region through rectum	51	49	$200.00	$147.41
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	50	48	$23.84	$16.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	39	39	$304.02	$187.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$257.02	$178.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	25	$300.00	$178.53
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	23	23	$75.00	$52.89
76536 Ultrasound of head and neck	20	19	$150.00	$132.39
76856 Complete ultrasound scan of pelvis	18	17	$150.00	$81.71
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	18	18	$275.00	$155.75
94010 Test to measure expiratory airflow and volume	16	16	$150.00	$40.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$225.00	$159.30
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$55.00	$17.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$450.00	$224.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	8,270	3,045	$169.76	$112.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	2,184	1,715	$70.88	$44.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	2,030	1,725	$88.46	$57.25
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	1,279	1,036	$241.08	$182.60
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	1,022	1,022	$292.58	$227.31
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	1,019	649	$193.00	$91.36
95923 Testing of autonomic (sympathetic) nervous system function	1,018	650	$372.00	$144.57
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	1,001	641	$29.00	$13.59
93923 Complete ultrasound study of arm and leg arteries	936	616	$346.00	$149.22
99213 Established patient office or other outpatient visit, typically 15 minutes	712	343	$124.92	$78.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	438	438	$202.92	$125.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	246	$141.20	$115.12
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	297	266	$66.47	$56.71
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	285	222	$210.80	$137.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	230	230	$306.16	$180.20
99497 Advance care planning, first 30 minutes	223	213	$200.00	$88.24
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	196	191	$650.00	$196.69
99344 New patient home visit, typically 1 hour	185	185	$298.61	$194.96
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	185	149	$137.36	$89.66
93925 Ultrasound of leg arteries or artery grafts	175	171	$350.00	$296.72
99343 New patient home visit, typically 45 minutes	119	119	$211.90	$138.39
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	114	104	$175.88	$67.64
93880 Ultrasound of both sides of head and neck blood flow	114	113	$300.00	$185.56
92540 Evaluation and testing for balance with recording	78	76	$395.00	$108.86
92546 Test for abnormal eye movement using a rotating chair	78	76	$486.00	$118.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$251.54	$175.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$450.00	$219.79
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	36	36	$292.74	$175.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$226.07	$154.77
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	14	14	$41.88	$29.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$23.84	$15.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	5,569	2,435	$156.45	$105.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	2,076	1,755	$84.95	$56.04
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	2,056	2,056	$320.35	$220.01
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	1,498	1,064	$246.92	$178.18
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	1,364	1,082	$69.17	$44.24
99213 Established patient office or other outpatient visit, typically 15 minutes	939	313	$124.96	$77.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	873	873	$294.75	$172.96
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	676	466	$193.00	$91.95
95923 Testing of autonomic (sympathetic) nervous system function	674	466	$372.00	$154.47
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	663	459	$29.00	$13.46
93923 Complete ultrasound study of arm and leg arteries	648	457	$346.00	$145.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	359	359	$201.26	$119.17
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	273	219	$67.42	$55.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	195	188	$650.00	$208.34
93925 Ultrasound of leg arteries or artery grafts	179	173	$350.00	$287.41
99344 New patient home visit, typically 1 hour	176	176	$298.01	$195.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	106	$142.47	$113.79
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	134	130	$210.34	$136.80
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	126	118	$137.36	$90.11
93880 Ultrasound of both sides of head and neck blood flow	118	113	$300.00	$178.36
99343 New patient home visit, typically 45 minutes	114	114	$211.61	$138.91
36415 Insertion of needle into vein for collection of blood sample	111	105	$10.00	$2.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	92	92	$414.03	$217.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	75	75	$283.90	$168.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$251.75	$172.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$225.00	$152.07
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	16	16	$129.00	$84.79
76770 Complete ultrasound scan behind abdominal cavity	16	14	$275.00	$124.90
94010 Test to measure expiratory airflow and volume	13	12	$150.00	$39.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$143.14	$115.92
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$55.00	$16.98

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A54433

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0A544334 (CA)

Commercial Insurance / Payer ID Group/corporation Npi #

1891795613 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Larry Nwafor , NP

Nurse Practitioner - Family

NPI 1134697576

Nurse Practitioner

Ijeoma Ike , FNP-C, MPH

Nurse Practitioner - Family

NPI 1275066029

Family Nurse Practitioner (Certified), Master of Public Health

Dr. Orette Clarke , DO

Internal Medicine

NPI 1275322729

Doctor of Osteopathic Medicine (D.O.)

Caroline Ngwoke

Nurse Practitioner - Primary Care

NPI 1487172656

Maria Recanita Jhocson

Nurse Practitioner - Family

NPI 1497454755

Vanessa Hall , NP

Nurse Practitioner - Family

NPI 1649804972

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

✅

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2017

Registered at 11900 AVALON BLVD, #100, LOS ANGELES, CA 900612867 (Tel: 3237561317)

📍

Updated Business Mailing Address June 15, 2017

Registered at 11900 AVALON BLVD, #100, LOS ANGELES, CA 900612867 (Tel: 3237561317)

👤

Provider Name / Credentials Updated June 15, 2017

Recorded as JACK AZAD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

General Practice (License #A54433 in CA)

📍

Updated Practice Location February 19, 2017

Registered at 11900 AVALON BLVD, #100, LOS ANGELES, CA 900612867 (Tel: 3237561317)

📍

Updated Business Mailing Address February 19, 2017

Registered at 11900 AVALON BLVD, #100, LOS ANGELES, CA 900612867 (Tel: 3237561317)

✅

NPI Profile Active October 18, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2007

Registered at 11900 AVALON BLVD, #100, LOS ANGELES, CA 900612866 (Tel: 3237561317)

📍

Updated Business Mailing Address October 18, 2007

Registered at 11900 AVALON BLVD, #100, LOS ANGELES, CA 900612866 (Tel: 3237561317)

👤

Provider Name / Credentials Updated October 18, 2007

Recorded as JACK AZAD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2007

General Practice (License #A54433 in CA)

🟢

Initial NPI Registration & Enumeration October 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1841489440

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 18, 2007

Last Update: June 15, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11900 Avalon Blvd, #100

Los Angeles, CA 900612867

Phone: 3237561317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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