Active NPI
Gerard Doyle
- Neonatal/Pediatric Registered Respiratory Therapist
- Los Angeles, CA
National Provider Identifier
1447734850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal/Pediatric Registered Respiratory Therapist
- License
- 24515
- Practice address
- 4867 W Sunset Blvd
Los Angeles, CA 90027-5969 - Phone
- (323) 783-7920
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | 24515 | CA | Primary |
Addresses
Primary practice location
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Mailing address
17009 Jeanine PL
Granada Hills, CA 91344-1625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | CA | MEDICAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24515 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1447734850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17009 JEANINE PL",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913441625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275969",
"telephone_number": "323-783-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "GERARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2279P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": "CA",
"license": "24515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "01",
"state": "CA"
}
],
"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 Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.