Active NPI
Stewart Lovelace, M.D.
- Psychiatry Physician
- Manhattan Beach, CA
National Provider Identifier
1285963983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C30263
- Practice address
- 1112 Ocean Dr
Suite 102
Manhattan Beach, CA 90266-5448 - Phone
- (310) 376-1415
- Fax
- (310) 545-1323
- NPI assigned
- Dec 9, 2009
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C30263 | CA | Primary |
Addresses
Primary practice location
1112 Ocean Dr
Suite 102
Manhattan Beach, CA 90266-5448
Mailing address
1112 Ocean Dr
Suite 102
Manhattan Beach, CA 90266-5448
Phone (310) 376-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C30263 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1285963983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 OCEAN DR",
"address_2": "SUITE 102",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665448",
"telephone_number": "310-376-1415",
"fax_number": "310-545-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 OCEAN DR",
"address_2": "SUITE 102",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665448",
"telephone_number": "310-376-1415",
"fax_number": "310-545-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "STEWART",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C30263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.