1. Home
  2. Directory
  3. California
  4. Torrance
  5. Psychiatry Neurology
  6. NPI Profile

DR. PEOLIA KANSAS FONSWORTH III M.D., M.B.A
NPI 1639412091
Psychiatry & Neurology - Addiction Medicine in Torrance, CA

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 W CARSON ST, TORRANCE, CA 90502(310) 222-2345 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2023, Mar 15, 2017 (2 updates tracked since 2017).

About Dr. Peolia Kansas Fonsworth Iii M.d., M.b.a NPPES

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

DR. PEOLIA KANSAS FONSWORTH III M.D., M.B.A (NPI 1639412091) is an individual addiction medicine provider in Torrance, California, licensed in California (A132680) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2013).

NPPES Registry Identity

NPI1639412091
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameDR. PEOLIA KANSAS FONSWORTH IIICredential: M.D., M.B.A
Location Address1000 W CARSON STTorrance, CA 90502-2004
Mailing Address1000 W Carson StTorrance, CA 90502-2004 · (415) 240-5467
Phone(310) 222-2345
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1639412091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in CA · A132680
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedSpecialistTaxonomy 174400000X · License A132680 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 W CARSON ST, Torrance, CA 90502
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dr. Peolia Kansas Fonsworth Iii M.d., M.b.a 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 ID5092061424
PECOS Enrollment IDI20180627002025
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90502 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost90.14

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.

MISS BRITTANY IRVINE M.A.
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
DEPAREMENT OF MANTAL HEALTH
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1648
DINA M MEZA
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Los Angeles County (310) 222-2741
MARIA GUADALUPE VALADEZ
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (559) 789-1327
ESTEBAN COTA
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
MS. DAWN MARIE TLUSTY RN
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1906
DR. NICOLE MOORE MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
KENTON YUJI SAKURAI
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (424) 306-4000

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 Peolia Fonsworth's NPI number?

The NPI number for Peolia Fonsworth is 1639412091. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Peolia Fonsworth located?

Peolia Fonsworth practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (310) 222-2345.

What is Peolia Fonsworth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Peolia Fonsworth enrolled in Medicare?

Yes. Peolia Fonsworth 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.

What insurance does Peolia Fonsworth accept?

Health plans from Providence Health Plan list Peolia Fonsworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peolia Fonsworth was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.