Active NPI
Robert W Eitches
- Allergy Physician
- Los Angeles, CA
National Provider Identifier
1043256316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- G44618
- Practice address
- 8631 W 3Rd St
925E
Los Angeles, CA 90048-5901 - Phone
- (310) 657-4600
- Fax
- (310) 657-6020
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | G44618 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
925E
Los Angeles, CA 90048-5901
Mailing address
8631 W 3Rd St
925E
Los Angeles, CA 90048-5901
Phone (310) 657-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44618 | CA | MD | Mental Health Counselor |
| G44618 | CA | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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
- Los Angeles, CA
- NPI 1639172372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1043256316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "925E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-657-4600",
"fax_number": "310-657-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "925E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-657-4600",
"fax_number": "310-657-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EITCHES",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "G44618",
"primary": true
}
],
"identifiers": [],
"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 Nov 14, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.