Active NPI
William Charles Wirshing, M.D.
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G50986
- Practice address
- 1920 Marengo St
Los Angeles, CA 90033 - Phone
- (323) 276-6400
- NPI assigned
- Oct 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | G50986 | CA | |
| Psychiatry Physician | 2084P0800X | G50986 | CA | Primary |
Addresses
Primary practice location
1920 Marengo St
Los Angeles, CA 90033
Mailing address
1390 El Mirador Dr
Pasadena, CA 91103-2724
Phone (310) 413-4200
Other practice location 1
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 453-1008
Other practice location 2
1920 Marengo St
Los Angeles, CA 90033
Phone (323) 276-6400
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50986 | CA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exodus Recovery Inc | Current | Accepting new patients | |
| Exodus Recovery Inc | Current | Accepting new patients | |
| Exodus Recovery, Inc. | Current | Accepting new patients |
Locations
3828 Hughes Ave
Culver City, CA 90232
Phone (310) 202-4774
9808 Venice Blvd
Ste 700
Culver City, CA 90232
Phone (310) 253-9494
1920 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4462
12021 Wilmington Ave
Fl 2
Los Angeles, CA 90059
Phone (424) 454-5000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1245441906
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1700311073
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1174300412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1265621601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 EL MIRADOR DR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032724",
"telephone_number": "310-413-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 MARENGO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-276-6400"
}
],
"practiceLocations": [
{
"address_1": "4411 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-453-1008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 Marengo St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90033",
"country_code": "US",
"telephone_number": "323-276-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIRSHING",
"first_name": "WILLIAM",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "G50986",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G50986",
"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 Jan 3, 2019; 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.