Individual provider Active NPI

Linda R Nussbaum, M.D.

  • Pediatrics Physician
  • Santa Monica, CA
National Provider Identifier
1073641155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G38754 Issued in CA
Practice address
901 Montana Ave
Suite C
Santa Monica, CA 90403-1544
Phone
(310) 393-9784
Fax
(310) 393-0187
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G38754 CA Primary

Addresses

Primary practice location

901 Montana Ave
Suite C
Santa Monica, CA 90403-1544

Mailing address

901 Montana Ave
Suite C
Santa Monica, CA 90403-1544
Phone (310) 393-9784

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

LicenseStateTypeSpecialty
G38754CAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: lnussbaum29268@direct.uclahealth.org

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073641155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTANA AVE",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031544",
            "telephone_number": "310-393-9784",
            "fax_number": "310-393-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTANA AVE",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031544",
            "telephone_number": "310-393-9784",
            "fax_number": "310-393-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "LINDA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G38754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, 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.

Verify at the official NPI Registry.