Active NPI
Christina M Ford, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1043389943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A111264
- Practice address
- 11777 San Vicente Blvd
#703
Los Angeles, CA 90049-5011 - Phone
- (310) 795-7921
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 235989 | MA | |
| Psychiatry Physician | 2084P0800X | A111264 | CA | Primary |
Addresses
Primary practice location
11777 San Vicente Blvd
#703
Los Angeles, CA 90049-5011
Mailing address
11777 San Vicente Blvd
#703
Los Angeles, CA 90049-5011
Phone (310) 795-7921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111264 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina M Ford, MD | Psychiatry | Past | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1366700924
-
- Psychiatry Physician
- Boston, MA
- NPI 1770524373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1043389943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11777 SAN VICENTE BLVD",
"address_2": "#703",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495011",
"telephone_number": "310-795-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 SAN VICENTE BLVD",
"address_2": "#703",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495011",
"telephone_number": "310-795-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "235989",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A111264",
"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 Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.