Organization Active NPI

Alan S Bookin MD Inc

  • Dermatology Physician
  • Pacific Palisades, CA
National Provider Identifier
1336215631
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C27530 Issued in CA
Legal business name
ALAN S BOOKIN MD INC
Practice address
910 Via de la Paz
Suite 104
Pacific Palisades, CA 90272-3538
Phone
(310) 454-0457
Fax
(310) 459-1014
NPI assigned
Nov 28, 2006
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Alan S BookinNPI 1194898502
Title
Owner
Phone
(310) 454-0457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C27530 CA Primary

Addresses

Primary practice location

910 Via de la Paz
Suite 104
Pacific Palisades, CA 90272-3538

Mailing address

910 Via de la Paz
Suite 104
Pacific Palisades, CA 90272-3538
Phone (310) 454-0457

National Provider Directory

National Provider Directory

Locations

910 Via de la Paz
Ste 104
Pacific Plsds, CA 90272
Phone (310) 454-0457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1336215631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE 104",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723538",
            "telephone_number": "310-454-0457",
            "fax_number": "310-459-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE 104",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723538",
            "telephone_number": "310-454-0457",
            "fax_number": "310-459-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN S BOOKIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BOOKIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-454-0457"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C27530",
            "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 25, 2008; 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.