Active NPI
Howard Bacal, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1366854465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G6805
- Practice address
- 1221 N Norman PL
Los Angeles, CA 90049-1540 - Phone
- (310) 471-4706
- NPI assigned
- May 22, 2014
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G6805 | CA | Primary |
Addresses
Primary practice location
1221 N Norman PL
Los Angeles, CA 90049-1540
Mailing address
1221 N Norman PL
Los Angeles, CA 90049-1540
Phone (310) 471-4706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 5, 2021 through Oct 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6805 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1366854465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N NORMAN PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491540",
"telephone_number": "310-471-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N NORMAN PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491540",
"telephone_number": "310-471-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACAL",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G6805",
"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 May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.