Active NPI
Michael D. Landman, M.D.
- Otolaryngology Physician
- Tarzana, CA
National Provider Identifier
1245237833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A22817
- Practice address
- 5525 Etiwanda Ave
Ste 312
Tarzana, CA 91356-6126 - Phone
- (818) 609-0600
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A22817 | CA | Primary |
Addresses
Primary practice location
5525 Etiwanda Ave
Ste 312
Tarzana, CA 91356-6126
Mailing address
5525 Etiwanda Ave
Ste 312
Tarzana, CA 91356-6126
Phone (818) 609-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A228170 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031119000904 | CA | Practitioner - Otolaryngology | 7315841624 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22817 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1245237833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 ETIWANDA AVE",
"address_2": "STE 312",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566126",
"telephone_number": "818-609-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 ETIWANDA AVE",
"address_2": "STE 312",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566126",
"telephone_number": "818-609-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDMAN",
"first_name": "MICHAEL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A22817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A228170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.