RENATO SOUSA DPM
NPI 1679002455
Podiatrist in Los Angeles, CA
About Renato Sousa Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENATO SOUSA DPM (NPI 1679002455) is an individual podiatrist in Los Angeles, California, licensed in California (E5667) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Renato Sousa Dpm 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.
Medicare Billing Reassignments
4Medicare enrollment records show Renato Sousa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 131 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 88 clinicians in this Medicare group
San Clemente, CA 92672
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
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 Renato Sousa's NPI number?
The NPI number for Renato Sousa is 1679002455. It was assigned to this individual provider in the NPPES registry on June 6, 2017.
Where is Renato Sousa located?
Renato Sousa practices at 1701 E Cesar E Chavez Ave Ste 510, Los Angeles, CA 90033. The listed phone number is (323) 987-1362.
What is Renato Sousa's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Renato Sousa enrolled in Medicare?
Yes. Renato Sousa 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.
Which organizations bill Medicare for Renato Sousa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renato Sousa reassigns Medicare benefits to 4 organizations: White Memorial Medical Group, Inc. (Los Angeles, CA), White Memorial Medical Center (Los Angeles, CA), Complete Care Community Health Center, Inc (Los Angeles, CA) and Stanley K Mathis DPM Inc (San Clemente, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renato Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Renato Sousa was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Renato Sousa, DPM · NPI 1679002455
Podiatrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 6, 2017.
## Identity
- **NPI:** 1679002455 (Entity type: Individual)
- **Enumerated:** June 6, 2017
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** E5667 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 E CESAR E CHAVEZ AVE STE 510, Los Angeles, CA 90033-2488
- **Phone:** (323) 987-1362 · **Fax:** (833) 941-2014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): White Memorial Medical Group, Inc. (NPI 1689769374, Los Angeles, CA); White Memorial Medical Center (NPI 1215927470, Los Angeles, CA); Complete Care Community Health Center, Inc (NPI 1215113964, Los Angeles, CA); Stanley K Mathis DPM Inc (NPI 1649737651, San Clemente, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** California School Of Podiatric Medicine, class of 2017
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679002455) · Data from the CMS NPPES public registry.