Individual provider Active NPI

Purva Amar

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1457885246
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A173059 Issued in CA
Practice address
9240 National Blvd Apt 2
Los Angeles, CA 90034-4312
Phone
(917) 477-9059
Fax
(434) 243-4743
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A173059 CA Primary

Addresses

Primary practice location

9240 National Blvd Apt 2
Los Angeles, CA 90034-4312

Mailing address

9240 National Blvd Apt 2
Los Angeles, CA 90034-4312
Phone (917) 477-9059

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamar@mednet.ucla.edu Direct UCLA Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A173059CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1457885246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 NATIONAL BLVD APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344312",
            "telephone_number": "917-477-9059",
            "fax_number": "917-477-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 NATIONAL BLVD APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344312",
            "telephone_number": "917-477-9059",
            "fax_number": "434-243-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "PURVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A173059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamar@mednet.ucla.edu",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "UCLA Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "757 Westwood Plz",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900958358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.