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MRS. AMANI ELDESSOUKY M.D.
NPI 1528074044
Family Medicine in Los Angeles, CA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
1704 W MANCHESTER AVE, SUITE 109, LOS ANGELES, CA 90047(323) 778-8485(310) 778-4452 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amani Eldessouky M.d. NPPES

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

MRS. AMANI ELDESSOUKY M.D. (NPI 1528074044) is an individual family medicine provider in Los Angeles, California, licensed in California (A56426) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1528074044
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. AMANI ELDESSOUKYCredential: M.D.
Location Address1704 W MANCHESTER AVE, SUITE 109Los Angeles, CA 90047-3034
Mailing Address1704 W Manchester Ave, Suite 109Los Angeles, CA 90047-3034 · (323) 778-8485 · Fax (323) 778-4452
Phone(323) 778-8485
Fax(310) 778-4452
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 12, 2014
✔ NPI 1528074044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A56426
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1704 W MANCHESTER AVE, Los Angeles, CA 90047
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Other Identifiers 1

Medicaid00A564260CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amani Eldessouky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789581455
PECOS Enrollment IDI20031229000891
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PACIFIC COAST MEDICAL SUPPLY
Durable Medical Equipment & Medical Supplies
1704 W MANCHESTER AVE, SUITE 105
LOS ANGELES, CA 90047
Los Angeles County (562) 706-4552
LOVING TOUCH HOSPICE CARE, INC.
Hospice Care, Community Based
1704 W MANCHESTER AVE, SUITE 101-D
LOS ANGELES, CA 90047
Los Angeles County (323) 789-6728
CORDELIA O EZE BS
Counselor (Addiction (Substance Use Disorder))
1704 W MANCHESTER AVE, SUITE 105
LOS ANGELES, CA 90047
Los Angeles County (323) 759-6224
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
Family Medicine
1704 W MANCHESTER AVE, SUITE 109
LOS ANGELES, CA 90047
Los Angeles County (323) 778-8485
MORNINGSIDE PRIMARY CARE MEDICAL CTR, INC
General Practice
1704 W MANCHESTER AVE, SUITE 101
LOS ANGELES, CA 90047
Los Angeles County (323) 778-6215
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
Family Medicine
1704 W MANCHESTER AVE, SUITE 109
LOS ANGELES, CA 90047
Los Angeles County (323) 778-8485
HENRIETTA WILLIAMS CAADAC
Counselor (Addiction (Substance Use Disorder))
1704 W MANCHESTER AVE, # 205
LOS ANGELES, CA 90047
Los Angeles County (323) 751-0608
MR. POTENCIANO REYNOSO PAREDES M.D.
Pediatrics
1704 W MANCHESTER AVE, SUITE 101
LOS ANGELES, CA 90047
Los Angeles County (323) 778-6215

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 Amani Eldessouky's NPI number?

The NPI number for Amani Eldessouky is 1528074044. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Amani Eldessouky located?

Amani Eldessouky practices at 1704 W Manchester Ave Suite 109, Los Angeles, CA 90047. The listed phone number is (323) 778-8485.

What is Amani Eldessouky's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amani Eldessouky enrolled in Medicare?

Yes. Amani Eldessouky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amani Eldessouky was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.