Active NPI
Alex Javier Kopelowicz, M.D.
- Psychiatry Physician
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G66500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66500 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| County of Los Angeles | Current | 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.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- El Monte, CA
- NPI 1124321161
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.