Peter M Loisides MD, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G72821 Issued in CA

Legal business name

PETER M LOISIDES MD, INC

Practice address

2001 Santa Monica Blvd
Suite 590W
Santa Monica, CA 90404-2102

Phone

(310) 829-0039

Fax

(310) 828-1791

NPI assigned

Dec 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Loisides, MDNPI 1679647838

Title

Physician

Phone

(310) 829-0039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16378/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Michael Loisides, MD

  • Urology Physician
  • Santa Monica, CA
  • NPI 1679647838
  Medicare reassignment NPD Authorized official
• Mark Joseph Kelly, MD

  • Urology Physician
  • Fort Myers, FL
  • NPI 1093889263
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1053473355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 590W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-0039",
            "fax_number": "310-828-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 590W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-829-0039",
            "fax_number": "310-828-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M LOISIDES MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "LOISIDES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-829-0039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G72821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Pershen, D.C.
• Personalized Pediatric Laboratories LLC
• Peter B. Hirsch, MD, Inc.
• Peter G Alexakis M D a Medical Corporation
• Peter M Birnstein MD Prof Corp Family Practice Assoc
• John Peters
• Lauren Peters
• Tanya Peters
• Julie James Peterson, OTR/L
• Justin D. Peterson, MD

• Urology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.