Active NPI
Mace Beckson, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1558455287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G59242
- Practice address
- 11301 Wilshire Blvd.
VA Medical Center, Psychiatry Service (B116A)
Los Angeles, CA 90073 - Phone
- (310) 268-4293
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | G59242 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd.
VA Medical Center, Psychiatry Service (B116A)
Los Angeles, CA 90073
Mailing address
11301 W. Olympic Blvd.
Suite 323
Los Angeles, CA 90064
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59242 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1558455287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 W. OLYMPIC BLVD.",
"address_2": "SUITE 323",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD.",
"address_2": "VA MEDICAL CENTER, PSYCHIATRY SERVICE (B116A)",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "310-268-4293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKSON",
"first_name": "MACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G59242",
"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 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.