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Home > CA Providers > Cardiac Electrophysiologists

Dr. Andrea Natale, MD

Accepting New Patients

(20 Ratings)

Specializes in: Cardiac Electrophysiology (Heart Rhythm) and Adult Cardiology

University of Florence Faculty of Medicine and Surgery

Professional interests include: arrhythmias (irregular heartbeats), cardioversion, ablation, and more.

3000 North Ih-35 Suite 700
Austin, TX 78705

(512) 807-3150

Dr. Andrea Natale, MD is a cardiac electrophysiologist in LA JOLLA, CA specializing in cardiac electrophysiology (heart rhythm) and adult cardiology. He graduated from University of Florence Faculty of Medicine and Surgery. Dr. Andrea Natale, MD is affiliated with Scripps Clinic, Montefiore Einstein, Scripps Memorial Hospital La Jolla, Scripps Health, St. David's HealthCare and Texas Cardiac Arrhythmia.

Office Locations

9898 GENESEE AVENUE
LA JOLLA, CA 92037

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111 E. 210TH STREET
BRONX, NY 10461

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St. David's HealthCare

3000 North Ih-35 Suite 700
Austin, TX 78705

(512) 807-3150

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Some issues Dr. Andrea Natale, MD can help you with:

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

In The News (see more mentions in the news)

“Coppola later took to Instagram to reassure fans, explaining that the hospital visit was for a scheduled procedure with Dr Andrea Natale, a renowned heart specialist who has treated him for over...”—"Godfather director sells watch collection after $120m film flopped", Daily Mail Online, October 2025

“"Da Dada (what my kids call me) is fine, taking an opportunity while in Rome to do the update of my 30-year-old AFib procedure with its inventor, a great Italian doctor - Dr. Andrea Natale!”—"Francis Ford Coppola Forced To Sell Prized Watches After Sinking $120M Into Box Office Bomb, 'Megalopolis'", Yahoo News, October 2025

“In an accompanying editorial, Andrea Natale, MD, and Sanghamitra Mohanty, MD, MS, both of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, nevertheless left room for...”—"When Is CPAP Associated With Cardiovascular Benefit ... vs Harm?", MedPage Today, August 2025

Noteworthy Medicare Patient Procedures Performed by Dr. Andrea Natale, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

ablation

cardiac catheter ablation

electrophysiological study and catheter ablation

intracardiac echocardiography

minimally invasive procedures

pulmonary vein isolation

In 2023, Dr. Andrea Natale, MD performed more ablation, cardiac catheter ablation, electrophysiological study and catheter ablation, intracardiac echocardiography (ICE), minimally invasive procedures, and pulmonary vein isolation (PVI) procedures for Medicare patients than 95% of providers in related specialties within California.

Top 25%

By Volume:

cardiac procedures

In 2012, Dr. Andrea Natale, MD performed more cardiac procedures procedures for Medicare patients than 75% of providers in related specialties within California.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2012 were cardiac procedures, minimally invasive procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	151
ambulatory monitoring	136
cardiac procedures	597
catheterization	151
diagnostic procedures	151
doctor visit	345
hospital care	18
inpatient care	18
lab tests	76
minimally invasive procedures	461
ultrasound (sonogram)	159

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2013 were cardiac procedures, minimally invasive procedures, ultrasound (sonogram) and ambulatory monitoring.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	136
ambulatory monitoring	142
cardiac procedures	424
catheterization	136
diagnostic procedures	136
doctor visit	349
lab tests	76
minimally invasive procedures	418
ultrasound (sonogram)	146

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	207
Female	103

**Ethnicity**
Non-Hispanic White	283
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	209
From 75 to 84	83
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2013

Hypertension	69
High Cholesterol	65
Stroke	9
Ischemic Heart Disease	50
Depression	8
Chronic Kidney Disease	16
Asthma	5
Osteoperosis	0
Atrial Fibrilation	75
Heart Failure	36
Chronic Obstructive Pulmonary Disease	6
Diabetes	17
Dementia	0
Cancer	11

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2014 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	176
ambulatory monitoring	93
cardiac procedures	479
catheterization	176
diagnostic procedures	176
doctor visit	393
implant surgery	37
lab tests	74
minimally invasive procedures	562
ultrasound (sonogram)	173

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	211
Female	120

**Ethnicity**
Non-Hispanic White	304
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	215
From 75 to 84	103
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2014

Hypertension	64
High Cholesterol	67
Stroke	10
Ischemic Heart Disease	51
Depression	14
Chronic Kidney Disease	16
Asthma	7
Osteoperosis	5
Atrial Fibrilation	75
Heart Failure	34
Chronic Obstructive Pulmonary Disease	7
Diabetes	19
Dementia	0
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2015 were cardiac procedures, minimally invasive procedures, ambulatory monitoring and catheterization.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	165
ambulatory monitoring	223
cardiac procedures	582
catheterization	165
diagnostic procedures	165
doctor visit	373
implant surgery	32
minimally invasive procedures	524
ultrasound (sonogram)	162

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	478
Female	264

**Ethnicity**
Non-Hispanic White	680
Black	0
Hispanic	0
Asian	0
Other	26
Native American	0

**Age**
From 65 to 74	472
From 75 to 84	226
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2015

Hypertension	69
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	53
Depression	9
Chronic Kidney Disease	15
Asthma	8
Osteoperosis	5
Atrial Fibrilation	75
Heart Failure	33
Chronic Obstructive Pulmonary Disease	9
Diabetes	16
Dementia	4
Cancer	12

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2016 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	178
ambulatory monitoring	168
cardiac procedures	538
catheterization	178
diagnostic procedures	178
doctor visit	335
implant surgery	14
minimally invasive procedures	548
ultrasound (sonogram)	178

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	276
Female	125

**Ethnicity**
Non-Hispanic White	371
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	242
From 75 to 84	135
85 and over	11
Less than 65	13

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2016

Hypertension	66
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	55
Depression	9
Chronic Kidney Disease	18
Asthma	14
Osteoperosis	6
Atrial Fibrilation	75
Heart Failure	32
Chronic Obstructive Pulmonary Disease	9
Diabetes	18
Dementia	3
Cancer	14

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2017 were minimally invasive procedures, cardiac procedures, ultrasound (sonogram) and catheterization.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	154
ambulatory monitoring	92
cardiac procedures	401
catheterization	154
diagnostic procedures	154
doctor visit	391
lab tests	45
minimally invasive procedures	463
ultrasound (sonogram)	155

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	242
Female	134

**Ethnicity**
Non-Hispanic White	350
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	218
From 75 to 84	135
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2017

Hypertension	67
High Cholesterol	57
Stroke	11
Ischemic Heart Disease	51
Depression	10
Chronic Kidney Disease	24
Asthma	9
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	33
Chronic Obstructive Pulmonary Disease	10
Diabetes	16
Dementia	5
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2018 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	175
cardiac procedures	353
catheterization	175
device removal	11
diagnostic procedures	175
doctor visit	397
implant surgery	14
minimally invasive procedures	539
ultrasound (sonogram)	164

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	235
Female	136

**Ethnicity**
Non-Hispanic White	344
Black	0
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	133
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2018

Hypertension	69
High Cholesterol	59
Stroke	9
Ischemic Heart Disease	0
Depression	13
Chronic Kidney Disease	23
Asthma	11
Osteoperosis	0
Atrial Fibrilation	75
Heart Failure	30
Chronic Obstructive Pulmonary Disease	8
Diabetes	15
Dementia	5
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2019 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	200
cardiac procedures	396
catheterization	200
diagnostic procedures	200
doctor visit	398
minimally invasive procedures	596
ultrasound (sonogram)	196

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	252
Female	139

**Ethnicity**
Non-Hispanic White	359
Black	0
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	143
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2019

Hypertension	70
High Cholesterol	68
Stroke	9
Ischemic Heart Disease	55
Depression	12
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	30
Chronic Obstructive Pulmonary Disease	9
Diabetes	19
Dementia	6
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2020 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	217
cardiac procedures	433
cardioversion	13
catheterization	217
diagnostic procedures	217
doctor visit	488
minimally invasive procedures	650
ultrasound (sonogram)	216

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	294
Female	148

**Ethnicity**
Non-Hispanic White	404
Black	0
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	260
From 75 to 84	153
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2020

Hypertension	73
High Cholesterol	65
Stroke	7
Ischemic Heart Disease	63
Depression	14
Chronic Kidney Disease	24
Asthma	8
Osteoperosis	5
Atrial Fibrilation	75
Heart Failure	33
Chronic Obstructive Pulmonary Disease	8
Diabetes	20
Dementia	5
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2021 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	238
cardiac procedures	474
catheterization	238
diagnostic procedures	238
doctor visit	565
hospital care	11
minimally invasive procedures	712
outpatient care	11
ultrasound (sonogram)	236

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	333
Female	161

**Ethnicity**
Non-Hispanic White	453
Black	0
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	278
From 75 to 84	195
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2021

Hypertension	75
High Cholesterol	72
Stroke	8
Ischemic Heart Disease	63
Depression	12
Chronic Kidney Disease	27
Asthma	9
Osteoperosis	7
Atrial Fibrilation	75
Heart Failure	35
Chronic Obstructive Pulmonary Disease	9
Diabetes	20
Dementia	5
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA during 2022 were minimally invasive procedures, cardiac procedures, catheterization and ablation.

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

ablation	213
cardiac procedures	346
cardioversion	16
catheterization	213
diagnostic procedures	213
doctor visit	559
minimally invasive procedures	559
ultrasound (sonogram)	133

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	328
Female	182

**Ethnicity**
Non-Hispanic White	470
Black	0
Hispanic	11
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	272
From 75 to 84	200
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Andrea Natale, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	42
Depression	14
Chronic Kidney Disease	17
Asthma	10
Osteoperosis	10
Atrial Fibrilation	75
Heart Failure	33
Chronic Obstructive Pulmonary Disease	11
Diabetes	20
Dementia	0
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Andrea Natale, MD for Medicare patients.

The highest averages for the top procedures that Dr. Andrea Natale, MD treated as a cardiac electrophysiologist in LA JOLLA, CA were minimally invasive procedures, cardiac procedures, diagnostic procedures and catheterization.

ablation	182
ambulatory monitoring	142
cardiac procedures	456
cardioversion	14
catheterization	182
device removal	11
diagnostic procedures	182
doctor visit	417
hospital care	14
implant surgery	24
inpatient care	18
lab tests	67
minimally invasive procedures	548
outpatient care	11
ultrasound (sonogram)	174

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Andrea Natale, MD.

**Gender**
Male	259
Female	137

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	365
Native American / Alaskan Native	0
Hispanic	1
Other	10

**Age**
75 to 84	136
85 and over	1
Less than 65	1
65 to 74	236

Average of Total of Conditions of Medicare patients treated by Dr. Andrea Natale, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Andrea Natale, MD treated were atrial fibrilation, hypertension, high cholesterol and ischemic heart disease.

Hypertension	63
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	43
Depression	10
Chronic Kidney Disease	18
Asthma	8
Osteoporosis	4
Heart Failure	29
Chronic Obstructive Pulmonary Disease	7
Diabetes	16
Atrial Fibrillation	68
Dementia	3
Cancer	10

Education & Training

Dr. Andrea Natale, MD graduated from University of Florence Faculty of Medicine and Surgery. He completed residency at The University of Western Ontario Affiliated Hospitals. He is certified by the American Board of Internal Medicine: Cardiovascular Disease and has a state license in Ohio.

Medical School: University of Florence Faculty of Medicine and Surgery

Residency: The University of Western Ontario Affiliated Hospitals

Board Certification: American Board of Internal Medicine: Cardiovascular Disease (2000)

Licensed In: Ohio

Affiliations & Hospitals

Dr. Andrea Natale, MD is associated with these hospitals and organizations:

Scripps Clinic

Montefiore Einstein

Scripps Memorial Hospital La Jolla

Scripps Health

St. David's HealthCare

Texas Cardiac Arrhythmia

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Andrea Natale, MD appears to accept the following insurance providers: Aetna, Anthem, Affinity Health Plan, Amidacare, 1199SEIU Benefit Funds, CDPHP and ArchCare.

Insurance Accepted by Provider includes:

According to our sources, Dr. Andrea Natale, MD accepts the following insurance providers:

Aetna

Anthem

Affinity Health Plan

Amidacare

1199SEIU Benefit Funds

CDPHP

ArchCare

Ratings & Reviews

Dr. Andrea Natale, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 20 ratings. We collect ratings and reviews of Dr. Andrea Natale, MD from all over the web to help you find the right in LA JOLLA, CA.

Overall Rating

(20 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Andrea Natale, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$527,179 GENERAL - THERAPIES $322,743	WATCHMAN FLX $53,773	GENERAL THERAPIES $43,925	WATCHMAN Access System $40,440	WATCHMAN $23,307	Other $42,992
Biosense Webster, Inc.	$215,272 Ablation CathetersAccessories $64,104	Carto 3 $28,163	Ablation Catheters Accessories $25,880	Ablation Catheters#Accessories $25,380	Carto 3 System $21,864	Other $49,881
BIOTRONIK INC.	$102,662 Bradycardia products $5,164	Edora 8 DR-T $5,102	Rivacor 7 DR-T $5,054	Acticor $1,023	Solia $1,021	Other $85,298
Medtronic Vascular, Inc.	$100,045 Ablation $21,875	Arctic Front $5,357	Cardiac Diagnostics and Monitoring $2,114	Pacemakers $1,565	Advisa $245	Other $68,888
Abbott Laboratories	$84,192 Ensite Cardiac Mapping System $29,012	Ablation Therapy Hardware $8,161	Ensite $6,840	Agilis NxT EP Introducer $6,089	Cardiac Diagnostics $4,953	Other $29,138
Other	$451,652 WatchPAT $59,575	VX1 $49,618	Carto 3 $42,076	Electrophysiology $28,713	Niobe $28,409	Other $243,262

**Types of Payments**
Consulting Fee	$510,290
Current or prospective ownership or investment interest	$370,048
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$261,363
Travel and Lodging	$209,443
Food and Beverage	$78,700
Other	$51,158

Research Payments

Dr. Andrea Natale, MD has received 299 research payments totaling $2,017,474.

Ownership and Interest Payments

This table describes ownership payments received by Dr. Andrea Natale, MD.

Kalila Medical, Inc.

2016

$2,997.00

Physician Covered Recipient

Acquisition payment

Biography

Dr. Andrea Natale's areas of specialization are adult cardiology and cardiac electrophysiology (heart rhythm). Before performing his residency at a hospital affiliated with The University of Western Ontario, Dr. Natale attended the University of Florence Faculty of Medicine and Surgery for medical school. His areas of expertise include ablation, cardioversion, and atrial fibrillation. Patients gave him an average rating of 5.0 stars (out of 5). Dr. Natale accepts Anthem, Blue California, and Aetna, in addition to other insurance carriers. He has received professional recognition including the following: San Francisco Super Doctors and Texas Super Doctors. He speaks Italian. His professional affiliations include Montefiore Einstein, Scripps Memorial Hospital La Jolla, and Scripps Clinic. Doctor.com reports that Dr. Natale is accepting new patients at his office in La Jolla, CA.