NPIMap

Organization Active NPI

Ilya Gelman M. D., a Professional Corporation

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1053615880
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A56511 Issued in CA
Legal business name
ILYA GELMAN M. D., A PROFESSIONAL CORPORATION
Practice address
6333 Wilshire Blvd Ste 200
Los Angeles, CA 90048-5724
Phone
(323) 653-2504
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Ilya GelmanNPI 1811008022
Title
President
Phone
(323) 653-2504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A56511 CA Primary

Addresses

Primary practice location

6333 Wilshire Blvd Ste 200
Los Angeles, CA 90048-5724

Mailing address

303 N Swall Dr PH
Beverly Hills, CA 90211-1747

National Provider Directory

National Provider Directory
Tax ID family
Ilya Gelman MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1053615880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N SWALL DR PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485724",
            "telephone_number": "323-653-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILYA GELMAN M. D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-653-2504"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A56511",
            "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 Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.