Active NPI
David Victor Andreone
- Psychologist
- Culver City, CA
National Provider Identifier
1447959036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 5110 Cimarron LN
Culver City, CA 90230-4307 - Phone
- (310) 951-8713
- NPI assigned
- Mar 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
5110 Cimarron LN
Culver City, CA 90230-4307
Mailing address
5110 Cimarron LN
Culver City, CA 90230-4307
Phone (310) 951-8713
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1447959036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 CIMARRON LN",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304307",
"telephone_number": "310-951-8713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 CIMARRON LN",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304307",
"telephone_number": "310-951-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREONE",
"first_name": "DAVID",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.