Active NPI
Michele Tortora Pato, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1013039189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G87717
- Practice address
- 1520 San Pablo St
Ste1652
Los Angeles, CA 90033-5321 - Phone
- (323) 442-6000
- Fax
- (323) 442-6001
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G87717 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St
Ste1652
Los Angeles, CA 90033-5321
Mailing address
1520 San Pablo St
Ste1652
Los Angeles, CA 90033-5321
Phone (323) 442-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87717 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Faculty Practice, Inc. | Psychiatry | Past | Accepting new patients |
| Usc Care Medical Group, Inc | Psychiatry | Past | Accepting new patients |
| Professional Practice Group, Dept. of Psych | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Psychiatry
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1013039189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "STE1652",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335321",
"telephone_number": "323-442-6000",
"fax_number": "323-442-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "STE1652",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335321",
"telephone_number": "323-442-6000",
"fax_number": "323-442-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATO",
"first_name": "MICHELE",
"middle_name": "TORTORA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G87717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.