Alan S Bookin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C27530 Issued in CA

Practice address

910 Via de la Paz
Suite 104
Pacific Palisades, CA 90272-3538

Phone

(310) 454-0457

Fax

(310) 459-1014

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan S Bookin MD Inc

  • Dermatology Physician
  • Pacific Palisades, CA
  • NPI 1336215631
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1194898502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE 104",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723538",
            "telephone_number": "310-454-0457",
            "fax_number": "310-459-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE 104",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723538",
            "telephone_number": "310-454-0457",
            "fax_number": "310-459-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKIN",
        "first_name": "ALAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C27530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C275301",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C275300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben Kohn MD a Professional Corporation
• John Bibb, M.D.
• Parmis Bishehban
• Julia Blank, MD
• Laura Anne Bloomberg, LMFT
• Diane Marie Boureston Grossman, LMFT
• Sabine Braunsberg
• Bridges to Recovery, Inc.
• Gayle Sandra Brodzki, PH.D.
• Alisa Ann Bromberg, M.D.

• Dermatology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.