Organization Active NPI

Steven Gitlin, MD., Inc.

  • Pulmonary Disease Physician
  • Altadena, CA
National Provider Identifier
1265598858
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G28726 Issued in CA
Legal business name
STEVEN GITLIN, MD., INC.
Practice address
1234 Rubio Vista Rd
Altadena, CA 91001-1534
Phone
(626) 794-0172
Fax
(626) 791-3602
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Dr. Steven Mark Gitlin, MD
Title
Owner
Phone
(626) 794-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X G28726 CA Primary

Addresses

Primary practice location

1234 Rubio Vista Rd
Altadena, CA 91001-1534

Mailing address

1234 Rubio Vista Rd
Altadena, CA 91001-1534
Phone (626) 794-0172

Other identifiers 1

IdentifierTypeStateIssuer
00G2878260MedicaidCA

National Provider Directory

National Provider Directory

Locations

9735 Wilshire Blvd
Ste 245
Beverly Hills, CA 90212
Phone (310) 276-5298

9735 Wilshire Blvd
Ste 339
Beverly Hills, CA 90212

2040 Wilshire Blvd
Ste 506
Los Angeles, CA 90057
Phone (213) 413-5444

2010 Wilshire Blvd
Ste 506
Los Angeles, CA 90057
Phone (213) 413-5444

2040 Wilshire Blvd
Ste 506
Los Angeles, CA 90057
Phone (213) 413-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1265598858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 RUBIO VISTA RD",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910011534",
            "telephone_number": "626-794-0172",
            "fax_number": "626-791-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 RUBIO VISTA RD",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910011534",
            "telephone_number": "626-794-0172",
            "fax_number": "626-791-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN GITLIN, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "GITLIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-794-0172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G28726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G2878260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.