Barton Tanenbaum MD a Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G19250 Issued in CA

Legal business name

BARTON TANENBAUM MD A MEDICAL CORPORATION

Practice address

1127 Wilshire Blvd Ste 805
Los Angeles, CA 90017-3909

Phone

(213) 484-9900

Fax

(213) 484-0158

NPI assigned

Nov 22, 2006

Last updated

Jun 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barton Tanenbaum, MDNPI 1447218045

Title

A Medical Corporationpresident

Phone

(310) 278-2970

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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.

• Barton Tanenbaum, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1447218045
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1376618363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173909",
            "telephone_number": "213-484-9900",
            "fax_number": "213-484-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173909",
            "telephone_number": "213-484-9900",
            "fax_number": "213-484-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON TANENBAUM MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "BARTON",
        "authorized_official_title_or_position": "A MEDICAL CORPORATIONPRESIDENT",
        "authorized_official_telephone_number": "310-278-2970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G19250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G192500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340018176",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "341916018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G129501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G192500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "005G192501",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB94467F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa L. Bartlett, MD
• Rashonda Bartney
• Diosdada Bartolo, RN
• Nicolas Andrew Bartolotta, PT
• John Nicholas Bartolozzi, PA
• Alexes Barton, ASW
• Anthony Peter Barton, P.T.
• Chelsea Rae Barton
• Cheryl Barton, NP
• Hugh Robert Barton, LMFT

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.