Active NPI
Nancy Wolf, M.D.
- Psychiatry Physician
- Beverly Hills, CA
National Provider Identifier
1043424005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G69275
- Practice address
- 1242 Angelo Dr
Beverly Hills, CA 90210-2706 - Phone
- (310) 858-8149
- NPI assigned
- May 9, 2007
- Sex
- Female
- 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 | G69275 | CA | Primary |
Addresses
Primary practice location
1242 Angelo Dr
Beverly Hills, CA 90210-2706
Mailing address
2476 Overland Ave
205
Los Angeles, CA 90064-3370
Phone (310) 858-8149
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69275 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043424005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2476 OVERLAND AVE",
"address_2": "205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643370",
"telephone_number": "310-858-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1242 ANGELO DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902102706",
"telephone_number": "310-858-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G69275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.