Organization Active NPI

Barry I. Ludwig, M.D. Inc.

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1124447040
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BARRY I. LUDWIG, M.D. INC.
Practice address
100 UCLA Medical PLZ
425
Los Angeles, CA 90095-1381
Phone
(310) 794-1500
Fax
(310) 794-1517
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Miss Patricia Magdalena Herrarte
Title
Head Biller
Phone
(310) 794-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

100 UCLA Medical PLZ
425
Los Angeles, CA 90095-1381

Mailing address

100 UCLA Medical PLZ
425
Los Angeles, CA 90095-1381
Phone (310) 794-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908001166 CA Part B Supplier - Clinic/Group Practice 2961621859 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

2811 Wilshire Blvd
Ste 508
Santa Monica, CA 90403
Phone (310) 794-1500

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": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1124447040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951381",
            "telephone_number": "310-794-1500",
            "fax_number": "310-794-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951381",
            "telephone_number": "310-794-1500",
            "fax_number": "310-794-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY I. LUDWIG, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "HERRARTE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MAGDALENA",
        "authorized_official_title_or_position": "HEAD BILLER",
        "authorized_official_telephone_number": "310-794-1500",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 Apr 8, 2014; 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.