Individual provider Active NPI

Alex Javier Kopelowicz, M.D.

  • Psychiatry Physician
  • Granada Hills, CA
National Provider Identifier
1033291950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G66500 Issued in CA
Practice address
10605 Balboa Blvd
Granada Hills, CA 91344-6342
Phone
(818) 832-2586
Fax
(818) 832-2567
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G66500 CA Primary

Addresses

Primary practice location

10605 Balboa Blvd
Granada Hills, CA 91344-6342

Mailing address

2991 Tiffany Cir
Los Angeles, CA 90077-1720
Phone (818) 832-2400

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
I20140422002064 CA Practitioner - Psychiatry 4385558642 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66500CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Dec 24, 2013 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince May 1, 2015 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince May 1, 2015 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
County of Los Angeles CurrentSince Dec 24, 2013 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 6

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033291950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 TIFFANY CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771720",
            "telephone_number": "818-832-2400",
            "fax_number": "818-832-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446342",
            "telephone_number": "818-832-2586",
            "fax_number": "818-832-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELOWICZ",
        "first_name": "ALEX",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.