Active NPI
Neil Bernard Haas, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1548320831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C29676
- Practice address
- 1800 Fairburn Ave
Suite 211
Los Angeles, CA 90025-5958 - Phone
- (310) 475-5532
- Fax
- (310) 475-6296
- NPI assigned
- Dec 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C29676 | CA | Primary |
Addresses
Primary practice location
1800 Fairburn Ave
Suite 211
Los Angeles, CA 90025-5958
Mailing address
1800 Fairburn Ave
Suite 211
Los Angeles, CA 90025-5958
Phone (310) 475-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 14, 2012 through Nov 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29676 | CA | MD | Chiropractor |
| C29676 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548320831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 FAIRBURN AVE",
"address_2": "SUITE 211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255958",
"telephone_number": "310-475-5532",
"fax_number": "310-475-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 FAIRBURN AVE",
"address_2": "SUITE 211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255958",
"telephone_number": "310-475-5532",
"fax_number": "310-475-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "NEIL",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C29676",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.