Individual provider Active NPI

Mark Steven Lipian, M.D., PH.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1194987339
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G064116 Issued in CA
Practice address
2029 Century Park East
Suite 2890
Los Angeles, CA 90067-2901
Phone
(310) 203-3919
Fax
(310) 203-3924
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X G064116 CA
Psychiatry Physician 2084P0800X G064116 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X G064116 CA

Addresses

Primary practice location

2029 Century Park East
Suite 2890
Los Angeles, CA 90067-2901

Mailing address

2029 Century Park East
Suite 2890
Los Angeles, CA 90067-2901
Phone (310) 203-3919

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
G064116CAMDForensic Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1194987339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK EAST",
            "address_2": "SUITE 2890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672901",
            "telephone_number": "310-203-3919",
            "fax_number": "310-203-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK EAST",
            "address_2": "SUITE 2890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672901",
            "telephone_number": "310-203-3919",
            "fax_number": "310-203-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPIAN",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "G064116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G064116",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G064116",
            "primary": false
        }
    ],
    "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 Jun 30, 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.