Organization Active NPI

Narbonne Medical Group

  • Podiatrist
  • Lomita, CA
National Provider Identifier
1023213949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3948 Issued in CA
Legal business name
NARBONNE MEDICAL GROUP
Practice address
24845 Narbonne Ave
Lomita, CA 90717-1549
Phone
(310) 325-0600
Fax
(310) 325-0346
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ross Berliner
Title
Podiatrist
Phone
(310) 325-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X E3948 CA Primary

Addresses

Primary practice location

24845 Narbonne Ave
Lomita, CA 90717-1549

Mailing address

3545 Griffith Park Blvd
Los Angeles, CA 90027-1404
Phone (323) 664-4331

National Provider Directory

National Provider Directory
Tax ID family
Narbonne Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023213949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271404",
            "telephone_number": "323-664-4331",
            "fax_number": "323-664-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24845 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171549",
            "telephone_number": "310-325-0600",
            "fax_number": "310-325-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARBONNE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERLINER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "310-325-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, 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.

Verify at the official NPI Registry.