Organization Active NPI

Michelle Ischayek DO PC

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1114699410
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHELLE ISCHAYEK DO PC
Practice address
1055 W 7TH St Ste 1770
Los Angeles, CA 90017-3019
Phone
(310) 651-3636
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Michelle Ischayek, DO
Title
Ceo
Phone
(310) 651-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1055 W 7TH St Ste 1770
Los Angeles, CA 90017-3019

Mailing address

287 S Robertson # 319
Beverly Hills, CA 90211-2810

National Provider Directory

National Provider Directory

Locations

287 S Robertson Blvd
Beverly Hills, CA 90211

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1114699410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 S ROBERTSON # 319",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W 7TH ST STE 1770",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173019",
            "telephone_number": "310-651-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE ISCHAYEK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "ISCHAYEK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-651-3636",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Oct 5, 2021; 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.