Active NPI
Lester M Zackler, M.D.
- Forensic Psychiatry Physician
- Sherman Oaks, CA
National Provider Identifier
1497760169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- G44303
- Practice address
- 13320 Riverside Dr
Suite 206
Sherman Oaks, CA 91423-2502 - Phone
- (818) 789-8488
- Fax
- (818) 789-1204
- NPI assigned
- Jul 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | G44303 | CA | Primary |
| Psychiatry Physician | 2084P0800X | G44303 | CA |
Addresses
Primary practice location
13320 Riverside Dr
Suite 206
Sherman Oaks, CA 91423-2502
Mailing address
13320 Riverside Dr
Suite 206
Sherman Oaks, CA 91423-2502
Phone (818) 789-8488
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44303 | CA | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1497760169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13320 RIVERSIDE DR",
"address_2": "SUITE 206",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232502",
"telephone_number": "818-789-8488",
"fax_number": "818-789-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13320 RIVERSIDE DR",
"address_2": "SUITE 206",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232502",
"telephone_number": "818-789-8488",
"fax_number": "818-789-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACKLER",
"first_name": "LESTER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "G44303",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G44303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.