Asya Kupisk MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A35087 Issued in CA

Legal business name

ASYA KUPISK MD INC

Practice address

7779 W Sunset Blvd
Los Angeles, CA 90046-3911

Phone

(323) 876-6649

Fax

(323) 876-1835

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Asya Kupisk, MDNPI 1386742831

Title

President

Phone

(323) 876-6649

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asya Kupisk, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1386742831
  Medicare reassignment Authorized official
• Ellen Shirman, PSY.D.

  • Psychologist
  • Encino, CA
  • NPI 1568533560
  NPD (past)
• Lana Temme, R.D.N.

  • Registered Dietitian
  • Tarzana, CA
  • NPI 1467984476
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1598933665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11323 DONA LOLA DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91604",
            "telephone_number": "323-876-6649",
            "fax_number": "323-876-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463911",
            "telephone_number": "323-876-6649",
            "fax_number": "323-876-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASYA KUPISK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "KUPISK",
        "authorized_official_first_name": "ASYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-876-6649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A35087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A350870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "4180916",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.