Active NPI
Shoshana Gerson, MD
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1215128392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G55845
- Practice address
- 1950 Sawtelle Blvd
Suite 365
Los Angeles, CA 90025-7075 - Phone
- (310) 824-7797
- Fax
- (310) 208-2683
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G55845 | CA | Primary |
Addresses
Primary practice location
1950 Sawtelle Blvd
Suite 365
Los Angeles, CA 90025-7075
Mailing address
1950 Sawtelle Blvd
Suite 365
Los Angeles, CA 90025-7075
Phone (310) 824-7797
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 |
|---|---|---|---|
| G55845 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1215128392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 SAWTELLE BLVD",
"address_2": "SUITE 365",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257075",
"telephone_number": "310-824-7797",
"fax_number": "310-208-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SAWTELLE BLVD",
"address_2": "SUITE 365",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257075",
"telephone_number": "310-824-7797",
"fax_number": "310-208-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSON",
"first_name": "SHOSHANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G55845",
"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 Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.