Individual provider Active NPI

Emily Anne Bost-Baxter, MD

  • Psychiatry Physician
  • Culver City, CA
National Provider Identifier
1013063478
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A105780 Issued in CA
Practice address
10559 Jefferson Blvd
Culver City, CA 90232-3526
Phone
(310) 405-6902
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 259426-1 NY
Psychiatry Physician 2084P0800X A105780 CA Primary

Addresses

Primary practice location

10559 Jefferson Blvd
Culver City, CA 90232-3526

Mailing address

10549 Jefferson Blvd
Culver City, CA 90232-3513
Phone (310) 405-6902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000545 CA Practitioner - Psychiatry 8224216577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Alcott Center for Mental Health ServicesGroup PAC ID 2062544554, 7 clinicians

Practice addresses (Care Compare)

10549 Jefferson Blvd
Culver City, CA 90232-3513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105780CAMDDentist
A105780CAMDPsychiatry Physician
259426-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alcott Center for Mental Health Services CurrentSince Jun 1, 2012 Accepting new patients

Locations

10559 Jefferson Blvd
Culver City, CA 90232
Phone (310) 405-6902

10559 Jefferson Blvd
Ste A
Culver City, CA 90232
Phone (310) 785-2121

10549 Jefferson Blvd
Culver City, CA 90232
Phone 3107852121 ext. 202

1433 S Robertson Blvd
Los Angeles, CA 90035
Phone (310) 785-2121

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1013063478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323513",
            "telephone_number": "310-405-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10559 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323526",
            "telephone_number": "310-405-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOST-BAXTER",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "259426-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A105780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.