Individual provider Active NPI

Robert Elliot Neshkes, MD

  • Geriatric Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1306897053
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
C39929 Issued in CA
Practice address
11500 Nimitz Ave
Los Angeles, CA 90049-3566
Phone
(424) 832-8369
Fax
(424) 832-8270
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X C39929 CA Primary

Addresses

Primary practice location

11500 Nimitz Ave
Los Angeles, CA 90049-3566

Mailing address

PO Box 84353
Los Angeles, CA 90073-0353
Phone (424) 832-8369

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1306897053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84353",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900730353",
            "telephone_number": "424-832-8369",
            "fax_number": "424-832-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NIMITZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493566",
            "telephone_number": "424-832-8369",
            "fax_number": "424-832-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESHKES",
        "first_name": "ROBERT",
        "middle_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "C39929",
            "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 Apr 29, 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.