The Camden Center Older Adults Program, Inc.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

39712 Issued in CA

Legal business name

THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC.

Practice address

10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613

Phone

(844) 422-6336

Fax

(888) 887-2955

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Miss Jessica Klein

Title

Director of Operations

Phone

(844) 422-6336

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Alan Plotkin, M.D., M.P.H.

  • Geriatric Psychiatry Physician
  • Los Angeles, CA
  • NPI 1942332960
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1376913400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257613",
            "telephone_number": "844-422-6336",
            "fax_number": "888-887-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257613",
            "telephone_number": "844-422-6336",
            "fax_number": "888-887-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "844-422-6336",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSB4021549",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A112538",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "39712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Geriatric Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.