Los Altos Psychiatric Medical Group, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C32617 Issued in CA

Legal business name

LOS ALTOS PSYCHIATRIC MEDICAL GROUP, INC.

Practice address

288 Quinnhill Rd
Los Altos, CA 94024-4736

Phone

(650) 949-4433

Fax

(650) 949-3446

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Frank Lloyd Annis, M.D.

Title

President

Phone

(650) 949-4433

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ilana Sharaun, M.F.T

  • Marriage & Family Therapist
  • Los Altos, CA
  • NPI 1073011839
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1396019022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 QUINNHILL RD",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244736",
            "telephone_number": "650-949-4433",
            "fax_number": "650-949-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 QUINNHILL RD",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244736",
            "telephone_number": "650-949-4433",
            "fax_number": "650-949-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALTOS PSYCHIATRIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "ANNIS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-949-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C32617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Altos Dermatology, Inc
• Los Altos Eyecare - an Optometry Corporation
• Los Altos Family Smiles
• Los Altos Optometric Group, Inc.
• Los Altos Pharmacy Inc.
• Los Altos Surgery Center LLC
• Annie Low, O.D.
• Wesley Low
• Loyola Chiropractic, Dr. Bollman & Dr. Martin, Inc.
• Jamie Lucia, DC

• Psychiatry Physician in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.