Payman R Emmanuel MD Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G085245 Issued in CA

Legal business name

PAYMAN R EMMANUEL MD INC

Practice address

10750 Washington Blvd
Culver City, CA 90232-3314

Phone

(310) 253-9999

Fax

(310) 253-9959

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Payman Richard Emmanuel, MDNPI 1831132422

Title

Doctor

Phone

(310) 413-1006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Payman Richard Emmanuel, MD

  • Specialist
  • Culver City, CA
  • NPI 1831132422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1437532553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323314",
            "telephone_number": "310-253-9999",
            "fax_number": "310-253-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323314",
            "telephone_number": "310-253-9999",
            "fax_number": "310-253-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYMAN R EMMANUEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL",
        "authorized_official_first_name": "PAYMAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-413-1006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G085245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhea Paul
• Jane E Paustian, R.N.
• Nadia D Pavia
• Selina Antonia Paxtor
• Kirill Paykov
• Kate Payne
• Pamela Payton, M.F.T.
• Patricia Paz
• Sally Cherie Pearce, LVN
• Anne Pearson

• Non-Pharmacy Dispensing Site in Culver City, CA
• Providers in Culver City, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.