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DR. CANDYCE DELOATCH MD
NPI 1174660385
Psychiatry & Neurology - Child & Adolescent Psychiatry in Los Angeles, CA

Active since January 30, 2007Opted out of Medicare · through Dec 14, 2027
2121 W TEMPLE ST, LOS ANGELES, CA 90026(213) 385-5100 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Candyce Deloatch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDYCE DELOATCH MD (NPI 1174660385) is an individual child & adolescent psychiatry provider in Los Angeles, California, licensed in California (A125972) and active in the NPI registry since January 2007. She has opted out of Medicare through December 14, 2027.

NPPES Registry Identity

NPI1174660385
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. CANDYCE DELOATCHCredential: MD
Location Address2121 W TEMPLE STLos Angeles, CA 90026-4915
Mailing Address2121 W Temple StLos Angeles, CA 90026-4915 · (213) 385-5100 · Fax (661) 266-1210
Phone(213) 385-5100
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1174660385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A125972
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A125972 (CA)
2121 W TEMPLE ST, Los Angeles, CA 90026
Open in Google Maps ↗

Other Identifiers 1

Other95-2633765CA · Medi-cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Candyce Deloatch Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2023 through December 14, 2027.

Opt-Out Effective DateDecember 14, 2023
Opt-Out In Effect ThroughDecember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD FERNANDES
Counselor (Professional)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
SAMANTHA DIAZ
Social Worker (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
AILYN CRUZ JARAMILLO
Social Worker (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
NANCY WATT LMFT
Marriage & Family Therapist
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
CRYSTAL VIANA GOMEZ GUERRA
Peer Specialist
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (323) 385-5100
MS. LAYLA ZOE SUMMERS
Student in an Organized Health Care Education/Training Program
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 260-7600
JESSICA DAWODU
Case Manager/Care Coordinator
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
SARAH BELARDE
Social Worker (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candyce Deloatch's NPI number?

The NPI number for Candyce Deloatch is 1174660385. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Candyce Deloatch located?

Candyce Deloatch practices at 2121 W Temple St, Los Angeles, CA 90026. The listed phone number is (213) 385-5100.

What is Candyce Deloatch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Candyce Deloatch enrolled in Medicare?

No. Candyce Deloatch has opted out of Medicare through December 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Candyce Deloatch was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.