Individual provider Active NPI

Barry Panter, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1376830950
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A19676 Issued in CA
Practice address
10100 Empyrean Way
103
Los Angeles, CA 90067-3824
Phone
(310) 286-2294
Fax
(323) 874-5003
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A19676 CA Primary

Addresses

Primary practice location

10100 Empyrean Way
103
Los Angeles, CA 90067-3824

Mailing address

10100 Empyrean Way
103
Los Angeles, CA 90067-3824
Phone (310) 286-2294

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

LicenseStateTypeSpecialty
A19676CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1376830950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 EMPYREAN WAY",
            "address_2": "103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673824",
            "telephone_number": "310-286-2294",
            "fax_number": "323-874-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 EMPYREAN WAY",
            "address_2": "103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673824",
            "telephone_number": "310-286-2294",
            "fax_number": "323-874-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTER",
        "first_name": "BARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A19676",
            "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 Jul 5, 2011; 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.