Individual provider Active NPI

Stuart James Fischbein, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1063417590
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G52027 Issued in CA
Practice address
10309 Santa Monica Blvd
Ste 300
Los Angeles, CA 90025-5007
Phone
(310) 282-8613
Fax
(310) 282-8567
NPI assigned
Jun 21, 2005
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G52027 CA Primary

Addresses

Primary practice location

10309 Santa Monica Blvd
Ste 300
Los Angeles, CA 90025-5007

Mailing address

10309 Santa Monica Blvd
Ste 300
Los Angeles, CA 90025-5007
Phone (310) 282-8613

Other identifiers 1

IdentifierTypeStateIssuer
00G520271OtherCABS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 30, 2019 through Apr 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G52027CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1063417590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD",
            "address_2": "STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-282-8613",
            "fax_number": "310-282-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD",
            "address_2": "STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-282-8613",
            "fax_number": "310-282-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBEIN",
        "first_name": "STUART",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G52027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00G520271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.