Inna Gitelman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20191 Issued in CA

Practice address

507 Wilshire Blvd
#313
Santa Monica, CA 90401-1477

Phone

(516) 477-4345

NPI assigned

Apr 13, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West 57TH Street Dermatology PLLC

  dba Westchester Center For Dermatology

  • Specialist
  • Scarsdale, NY
  • NPI 1518185727
  Medicare reassignment

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1023232659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WILSHIRE BLVD",
            "address_2": "#313",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011477",
            "telephone_number": "516-477-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WILSHIRE BLVD",
            "address_2": "#313",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011477",
            "telephone_number": "516-477-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITELMAN",
        "first_name": "INNA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011750",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Gip
• Rachel K Gipson
• Carla Gireaux, M.F.T.
• Barbara Louise Giroux, CRNA, L.AC.
• Melanie Ann Gisler, D.O.
• Alexander Gittinger
• John W Given, D.D.S.
• Susan Elizabeth Given, N.P.
• Dessere Givertz
• Eskedar Lidyanna Gizaw, NP

• Physician Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.