Active NPI
Andrew Kassinove, MD; Inc.
- Emergency Medicine Physician
- Los Angeles, CA
National Provider Identifier
1023059524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ANDREW KASSINOVE, MD; INC.
- Practice address
- 2131 W 3Rd St
Los Angeles, CA 90057-1901 - Phone
- (213) 484-7301
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Kassinove, MD
- Title
- President
- Phone
- (310) 951-1714
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2131 W 3Rd St
Los Angeles, CA 90057-1901
Mailing address
30925 Ganado Dr
Rancho Palos
Rancho Palos Verdes, CA 90275-6243
Phone (310) 951-1714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD6313 | Other | CA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1194761486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023059524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30925 GANADO DR",
"address_2": "RANCHO PALOS",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902756243",
"telephone_number": "310-951-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 W 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571901",
"telephone_number": "213-484-7301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW KASSINOVE, MD; INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KASSINOVE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-951-1714",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD6313",
"state": "CA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.