Individual provider Active NPI

Sara Latz, MD, JD

  • Child & Adolescent Psychiatry Physician
  • Pacific Palisades, CA
National Provider Identifier
1306087218
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A43972 Issued in CA
Practice address
984 Monument St Ste 102
Pacific Palisades, CA 90272-3858
Phone
(310) 230-2233
Fax
(310) 230-2236
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X A43972 CA
Child & Adolescent Psychiatry Physician 2084P0804X A43972 CA Primary

Addresses

Primary practice location

984 Monument St Ste 102
Pacific Palisades, CA 90272-3858

Mailing address

984 Monument St Ste 102
Pacific Palisades, CA 90272-3858
Phone (310) 230-2233

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
Juris Doctor, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43972CAMDForensic Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1306087218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 102",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723858",
            "telephone_number": "310-230-2233",
            "fax_number": "310-230-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 102",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723858",
            "telephone_number": "310-230-2233",
            "fax_number": "310-230-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATZ",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD, JD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A43972",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A43972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.