Individual provider Active NPI

Lester M Zackler, M.D.

  • Forensic Psychiatry Physician
  • Sherman Oaks, CA
National Provider Identifier
1497760169
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
G44303 Issued in CA
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

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
G44303CAMDForensic 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.

Verify at the official NPI Registry.