Active NPI
Fabiana Tantini
- Psychologist
- Los Angeles, CA
National Provider Identifier
1538870613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB94027268
- Practice address
- 4929 Wilshire Blvd Ste 1000
Los Angeles, CA 90010-3825 - Phone
- (323) 743-1122
- Fax
- (323) 652-4301
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB94027268 | CA | Primary |
Addresses
Primary practice location
4929 Wilshire Blvd Ste 1000
Los Angeles, CA 90010-3825
Mailing address
2140 N Hollywood Way # Pb7085
Burbank, CA 91510-8217
Phone (818) 912-4658
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94027268 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1538870613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 N HOLLYWOOD WAY # PB7085",
"city": "BURBANK",
"state": "CA",
"postal_code": "915108217",
"telephone_number": "818-912-4658",
"fax_number": "323-652-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4929 WILSHIRE BLVD STE 1000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103825",
"telephone_number": "323-743-1122",
"fax_number": "323-652-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTINI",
"first_name": "FABIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB94027268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.