Individual provider Active NPI

David Brandeis Katzin, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1437557055
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G45342 Issued in CA
Practice address
10102 Empyrean Way
302
Los Angeles, CA 90067-3825
Phone
(310) 552-9368
Fax
(310) 552-4656
NPI assigned
Dec 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G45342 CA Primary

Addresses

Primary practice location

10102 Empyrean Way
302
Los Angeles, CA 90067-3825

Mailing address

10102 Empyrean Way
302
Los Angeles, CA 90067-3825
Phone (310) 552-9368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45342CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1418428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1437557055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 EMPYREAN WAY",
            "address_2": "302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673825",
            "telephone_number": "310-552-9368",
            "fax_number": "310-552-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 EMPYREAN WAY",
            "address_2": "302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673825",
            "telephone_number": "310-552-9368",
            "fax_number": "310-552-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZIN",
        "first_name": "DAVID",
        "middle_name": "BRANDEIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G45342",
            "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 Dec 13, 2014; 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.