Individual provider Active NPI

Joshua Mark Flatow, M.D.

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1487996302
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A131756 Issued in CA
Practice address
320 Pine Ave
Ste 609
Long Beach, CA 90802-2310
Phone
(562) 279-0180
NPI assigned
Mar 18, 2013
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1487996302 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychiatry Physician 2084P0800X A131756 CA Primary

Addresses

Primary practice location

320 Pine Ave
Ste 609
Long Beach, CA 90802-2310

Mailing address

4840 Mindora Dr
Torrance, CA 90505-2140
Phone (424) 262-1521

Other practice location 1

1580 1st St
Napa, CA 94559-2841
Phone (770) 855-1464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160829002196 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9335434430 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1487996302CAMDSpecialist
A131756CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Humboldt CurrentSince Jun 26, 2017 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Jun 16, 2018 Accepting new patients
County of San Luis Obispo Current Accepting new patients
County of San Luis Obispo CurrentSince Jul 30, 2022 Accepting new patients
Flatow Medical Corporation Apc Psychiatry CurrentSince Sep 1, 2020 Accepting new patients
County of Humboldt CurrentSince Jun 26, 2017 Accepting new patients
County of Humboldt Current Accepting new patients
County of San Luis Obispo CurrentSince Jul 30, 2022 Accepting new patients

Locations

720 Wood St
Eureka, CA 95501
Phone (707) 268-2900

2447 Pacific Coast Hwy
Fl 2
Hermosa Beach, CA 90254
Phone (310) 906-6752

16485 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (310) 571-5041

28202 Cabot Rd
Ste 300
Laguna Niguel, CA 92677
Phone (949) 287-3197

320 Pine Ave
Ste 609
Long Beach, CA 90802
Phone (310) 571-5041

11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757

2211 Corinth Ave
Ste 300
Los Angeles, CA 90064
Phone (562) 279-0180

475 Washington Blvd
Marina del Rey, CA 90292
Phone (310) 439-3736

1580 1st St
Napa, CA 94559
Phone (707) 200-8225

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

2178 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 781-4711

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1487996302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 MINDORA DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052140",
            "telephone_number": "424-262-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE",
            "address_2": "STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "562-279-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592841",
            "country_code": "US",
            "telephone_number": "770-855-1464",
            "fax_number": "507-262-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLATOW",
        "first_name": "JOSHUA",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "1487996302",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A131756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.