David W. Trader, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G48528 Issued in CA

Legal business name

DAVID W. TRADER, M.D., INC.

Practice address

9911 W Pico Blvd
Suite 1460
Los Angeles, CA 90035-2703

Phone

(310) 277-3883

Fax

(310) 277-2644

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David W Trader, M.D.NPI 1093878134

Title

President

Phone

(310) 277-3883

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David W Trader, M.D.

  • Geriatric Psychiatry Physician
  • Los Angeles, CA
  • NPI 1093878134
  NPD (past) Authorized official
• Stephen Tai Chen, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1114941382
  NPD (past)
• Donna J Delegeane, ARNP

  • Family Nurse Practitioner
  • Silverdale, WA
  • NPI 1093874372
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174686299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD",
            "address_2": "SUITE 1460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352703",
            "telephone_number": "310-277-3883",
            "fax_number": "310-277-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD",
            "address_2": "SUITE 1460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352703",
            "telephone_number": "310-277-3883",
            "fax_number": "310-277-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. TRADER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRADER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-277-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G48528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily David, DO

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.