Organization Active NPI

Avrom Gart MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
National Provider Identifier
1164552279
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G59372 Issued in CA
Legal business name
AVROM GART MD INC
Practice address
444 S San Vicente Blvd
Suite #800
Los Angeles, CA 90048-4165
Phone
(310) 423-9900
Fax
(310) 423-9991
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Avrom Gart, M.D.
Title
President
Phone
(310) 423-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X G59372 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd
Suite #800
Los Angeles, CA 90048-4165

Mailing address

122 Sheldon St
El Segundo, CA 90245-3915
Phone (310) 322-4278

Other names 1

  • Gart Berkley Spine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1164552279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SHELDON ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453915",
            "telephone_number": "310-322-4278",
            "fax_number": "310-322-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE #800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9900",
            "fax_number": "310-423-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVROM GART MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "GART",
        "authorized_official_first_name": "AVROM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-423-9900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G59372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gart Berkley Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2013; 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.