Active NPI
Melvin Dailey Morgan, M.D.
- Child & Adolescent Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1184849903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- C-36615
- Practice address
- 1800 Fairburn Ave
# 101
Los Angeles, CA 90025-5958 - Phone
- (323) 658-8508
- Fax
- (310) 474-0046
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | C-36615 | CA | Primary |
Addresses
Primary practice location
1800 Fairburn Ave
# 101
Los Angeles, CA 90025-5958
Mailing address
8306 Wilshire Blvd
# 150
Beverly Hills, CA 90211-2304
Phone (323) 658-8508
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-36615 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1184849903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8306 WILSHIRE BLVD",
"address_2": "# 150",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112304",
"telephone_number": "323-658-8508",
"fax_number": "310-474-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 FAIRBURN AVE",
"address_2": "# 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255958",
"telephone_number": "323-658-8508",
"fax_number": "310-474-0046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "MELVIN",
"middle_name": "DAILEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C-36615",
"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 May 23, 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.