Active NPI
Susan Pekarovics MD a Professional Corporation
- Endocrinology, Diabetes & Metabolism Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A56360
- Legal business name
- SUSAN PEKAROVICS MD A PROFESSIONAL CORPORATION
- Practice address
- 6360 Wilshire Blvd
Suite 202
Los Angeles, CA 90048-5603 - Phone
- (323) 951-4916
- Fax
- (323) 951-4717
- NPI assigned
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Pekarovics, M.D.
- Title
- President
- Phone
- (323) 951-4916
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A56360 | CA | Primary |
Addresses
Primary practice location
6360 Wilshire Blvd
Suite 202
Los Angeles, CA 90048-5603
Mailing address
6360 Wilshire Blvd
Suite 202
Los Angeles, CA 90048-5603
Phone (323) 951-4916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
533 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 931-1061
6360 Wilshire Blvd
Ste 202
Los Angeles, CA 90048
Phone (323) 653-4220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Los Angeles, CA
- NPI 1154350320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339200000000",
"number": "1235430505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 WILSHIRE BLVD",
"address_2": "SUITE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485603",
"telephone_number": "323-951-4916",
"fax_number": "323-951-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 WILSHIRE BLVD",
"address_2": "SUITE 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485603",
"telephone_number": "323-951-4916",
"fax_number": "323-951-4717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN PEKAROVICS MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-03",
"last_updated": "2012-06-09",
"status": "A",
"authorized_official_last_name": "PEKAROVICS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-951-4916",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A56360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Susan B Krevoy Eating Disorders Program at Wright Institute
- Susan Choi & Associates Inc
- Susan E Sprau MD a Professional Corporation
- Susan M Kallal, M.D. Pharm.D., a.M.C
- Susan N Fukushima MD Inc
- Susan Quinn
- Susan Schmidt-Lackner a Professional Medical Corporation
- Susana Santiago-Soriano
- Susana Santiago-Soriano MD Inc
- Shriraj Susarla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.