Justine Sarah Dembo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A130707 Issued in CA

Practice address

881 Alma Real Dr
Suite 311
Pacific Palisades, CA 90272-3731

Phone

(424) 203-3220

Fax

(866) 282-5176

NPI assigned

Jul 10, 2014

Last updated

Jul 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1508272501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 311",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "424-203-3220",
            "fax_number": "866-282-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 311",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "424-203-3220",
            "fax_number": "866-282-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBO",
        "first_name": "JUSTINE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A130707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Etoile Davie, M.D.
• Kerry C. Davirro, D.D.S.
• Jason Joseph Debonis
• Debra Maltenfort, MD, Inc.
• James George Dedic, LCSW
• Bethany Leda Donowho, NP-C
• Dr Laure Weber a Psychological Corporation
• Dr. Gary D. Polan, OD
• Dr. William Francis D.D.S.
• Drpalidental Inc.

• Psychiatry Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.