Active NPI
Graham Wolf, MD
- Hospitalist Physician
- Los Angeles, CA
National Provider Identifier
1154701175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A157206
- Practice address
- 8700 Beverly Blvd # 220
Los Angeles, CA 90048 - Phone
- (310) 423-5252
- Fax
- (310) 423-8441
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A157206 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | A157206 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd # 220
Los Angeles, CA 90048
Mailing address
PO Box 54679
Los Angeles, CA 90054-0679
Phone (310) 423-5252
Other practice location 1
9205 SW Barnes Rd
Mt 2800
Portland, OR 97225-6603
Phone (503) 216-2621
Other practice location 2
8700 Beverly Blvd # 220
West Hollywood, CA 90048-1804
Phone (310) 423-5252
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1154701175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54679",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540679",
"telephone_number": "310-423-5252",
"fax_number": "310-423-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD # 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048",
"telephone_number": "310-423-5252",
"fax_number": "310-423-8441"
}
],
"practiceLocations": [
{
"address_1": "9205 SW Barnes Rd",
"address_2": "MT 2800",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256603",
"country_code": "US",
"telephone_number": "503-216-2621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd # 220",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-5252",
"fax_number": "310-423-8441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "GRAHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A157206",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A157206",
"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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.