Individual provider Active NPI

Edwin George Caine, M.D.

  • Psychiatry Physician
  • Torrance, CA
National Provider Identifier
1225109747
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G12654 Issued in CA
Practice address
3812 Sepulveda Blvd
Suite 340
Torrance, CA 90505-2479
Phone
(310) 326-5102
Fax
(310) 303-7906
NPI assigned
Nov 13, 2006
Last updated
May 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G12654 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X G12654 CA

Addresses

Primary practice location

3812 Sepulveda Blvd
Suite 340
Torrance, CA 90505-2479

Mailing address

3812 Sepulveda Blvd
Suite 340
Torrance, CA 90505-2479
Phone (310) 326-5102

Other identifiers 1

IdentifierTypeStateIssuer
EIN 95-2908913OtherCASOLO CORPORATION

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Psychiatric Medical Group, Inc. Psychiatry PastSince Nov 1, 1978 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1225109747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052479",
            "telephone_number": "310-326-5102",
            "fax_number": "310-303-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052479",
            "telephone_number": "310-326-5102",
            "fax_number": "310-303-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAINE",
        "first_name": "EDWIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G12654",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G12654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO CORPORATION",
            "identifier": "EIN 95-2908913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.