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Edward J Bates

Physician β€’ Los Angeles, CA

Active NPI 1467045542 Individual Practitioner Male Practitioner
Practice location in NPPES

1138 S Crescent Heights Blvd
Los Angeles, CA 900352635

Call 3106584008 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1138 S Crescent Heights Blvd

Los Angeles, CA 900352635

Telephone 3106584008
Organization at the Same NPPES Address or Phone
Safe Re-Set Facility NPI 1508447202

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-15
Non-Pharmacy Dispensing Site Primary Specialty

NUCC Taxonomy Code: 332900000X

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location April 15, 2021

Registered at 1138 S CRESCENT HEIGHTS BLVD, LOS ANGELES, CA 900352635 (Tel: 3106584008)

βœ…
NPI Profile Active February 18, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 18, 2021

Registered at 3838 DEL AMO BLVD STE 202, TORRANCE, CA 905037710 (Tel: 3106584008)

πŸ“
Business Mailing Address (Initial Record) February 18, 2021

Registered at 1138 S CRESCENT HEIGHTS BLVD, LOS ANGELES, CA 900352635 (Tel: 3106584008)

πŸ‘€
Provider Name / Credentials (Initial Record) February 18, 2021

Recorded as EDWARD BATES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Non-Pharmacy Dispensing Site

🟒
Initial NPI Registration & Enumeration February 18, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467045542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2021
Last Update: April 15, 2021
Sole Proprietor: Yes

Mailing Address

1138 S Crescent Heights Blvd

Los Angeles, CA 900352635

Phone: 3106584008

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.