Active NPI
Eli Gendler, M.D.
- General Practice Physician
- Los Angeles, CA
National Provider Identifier
1356891857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A39904
- Practice address
- 2501 South Hill St.
Los Angeles, CA 90007 - Phone
- (213) 840-8795
- Fax
- (213) 536-5845
- NPI assigned
- Oct 7, 2016
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A39904 | CA | Primary |
Addresses
Primary practice location
2501 South Hill St.
Los Angeles, CA 90007
Mailing address
1106 1/2 California Ave
Upper Unit
Santa Monica, CA 90403
Phone (213) 840-8795
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 |
|---|---|---|---|
| A39904 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1356891857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 1/2 CALIFORNIA AVE",
"address_2": "UPPER UNIT",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "213-840-8795",
"fax_number": "213-745-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 SOUTH HILL ST.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90007",
"telephone_number": "213-840-8795",
"fax_number": "213-536-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDLER",
"first_name": "ELI",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A39904",
"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 Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.