Active NPI
Nancy Holt, MD
- Adolescent Medicine (Internal Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1053434506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- G65015
- Practice address
- 6289 Del Valle Dr
Los Angeles, CA 90048-5305 - Phone
- (310) 210-9481
- Fax
- (323) 334-1358
- NPI assigned
- Apr 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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | G65015 | CA | Primary |
Addresses
Primary practice location
6289 Del Valle Dr
Los Angeles, CA 90048-5305
Mailing address
6289 Del Valle Dr
Los Angeles, CA 90048-5305
Phone (310) 210-9481
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 |
|---|---|---|---|
| G65015 | CA | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1053434506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6289 DEL VALLE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485305",
"telephone_number": "310-210-9481",
"fax_number": "323-334-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6289 DEL VALLE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485305",
"telephone_number": "310-210-9481",
"fax_number": "323-334-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "NANCY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "CA",
"license": "G65015",
"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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.