F. David Rudnick, MD, a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G34733 Issued in CA

Legal business name

F. DAVID RUDNICK, MD, A MEDICAL CORPORATION

Practice address

501 Santa Monica Blvd Ste 509
Santa Monica, CA 90401-2432

Phone

(310) 393-5433

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Franklin David Rudnick, M.D.

Title

Owner

Phone

(310) 393-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Michael Alan Glazer, PHD

  • Psychologist
  • Camarillo, CA
  • NPI 1316915093
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1427329028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SANTA MONICA BLVD STE 509",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012432",
            "telephone_number": "310-393-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SANTA MONICA BLVD STE 509",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012432",
            "telephone_number": "310-393-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. DAVID RUDNICK, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-393-5433",
        "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": "G34733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER (PTAN)",
            "identifier": "G34733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyexam of California (Lenscrafters #0874)
• Philomina Eyong, PA
• Denise Ezell
• Sylvia Oluchi Ezirim, LVN
• Nancy Lynn Ezra, PH.D.
• F.C.H. Inc. (Fireside Convalescent Hospital)
• F8Thfulhaircompanyllc
• Marla Fabian, NP
• Spencer S Face
• Jory Faermark, M.S.

• Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.