NPIMap

Organization Active NPI

Advanced Diagnostics

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1235425307
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A98461 Issued in CA
Legal business name
ADVANCED DIAGNOSTICS
Practice address
3500 Overland Ave
A133
Los Angeles, CA 90034-5695
Phone
(323) 854-4454
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Peter Adamczyk, MD
Title
Owner
Phone
(323) 785-4785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A98461 CA Primary

Addresses

Primary practice location

3500 Overland Ave
A133
Los Angeles, CA 90034-5695

Mailing address

3500 Overland Ave
A133
Los Angeles, CA 90034-5695
Phone (323) 854-4454

National Provider Directory

National Provider Directory

Locations

3500 Overland Ave
#A133
Los Angeles, CA 90034
Phone (323) 854-4454

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1235425307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OVERLAND AVE",
            "address_2": "A133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345695",
            "telephone_number": "323-854-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OVERLAND AVE",
            "address_2": "A133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345695",
            "telephone_number": "323-854-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "ADAMCZYK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-785-4785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A98461",
            "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 Jun 27, 2011; 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.