Active NPI
Amira Collison
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1386114155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A191511
- Practice address
- 760 Westwood PLZ
Los Angeles, CA 90024-5055 - Phone
- (310) 206-1548
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000X | MD | |
| Psychiatry Physician | 2084P0800X | A191511 | CA | Primary |
Addresses
Primary practice location
760 Westwood PLZ
Los Angeles, CA 90024-5055
Mailing address
760 Westwood PLZ
Los Angeles, CA 90024-5055
Phone (310) 206-1548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711003466 | CA | Order and Referring Only - Psychiatry | 8921467788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191511 | CA | MD | Psychiatry Physician |
| 390200000X | MD | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1386114155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245055",
"telephone_number": "310-206-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245055",
"telephone_number": "310-206-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLISON",
"first_name": "AMIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": "390200000X",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A191511",
"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 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.