Individual provider Active NPI

Deborah Lee Holder, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1326011040
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
C56110 Issued in CA
Practice address
4650 W Sunset Blvd # 82
Los Angeles, CA 90027-6062
Phone
(323) 361-2471
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X C56110 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd # 82
Los Angeles, CA 90027-6062

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

8723 Alden Dr Ste 240
Los Angeles, CA 90048-3692
Phone (310) 423-7779

Other practice location 2

18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800

Other identifiers 1

IdentifierTypeStateIssuer
101210130MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122000042 CA Practitioner - Neurology 4789630203 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C56110CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Dec 27, 2023 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 9, 2023 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 9, 2023 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Children's Hospital Medical Center Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4650 W Sunset Blvd
#82
Los Angeles, CA 90027
Phone (323) 361-2471

8723 Alden Dr
Ste 240
Los Angeles, CA 90048
Phone (310) 423-7779

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dholder449051@direct.cshs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1326011040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD # 82",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8723 Alden Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483692",
            "country_code": "US",
            "telephone_number": "310-423-7779",
            "fax_number": "310-423-8269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18321 Clark St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563501",
            "country_code": "US",
            "telephone_number": "818-881-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "C56110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101210130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.