Lev Gertsik, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A054951 Issued in CA

Practice address

726 Garfield Ave
South Pasadena, CA 91030-2807

Phone

(310) 726-3983

Fax

(626) 441-2497

NPI assigned

Dec 21, 2006

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Neurology

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Glendale Adventist Medical CenterGroup PAC ID 4284692096, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Medicare reassignment Care Compare group NPD
• Lev G Gertsik MD Inc

  • Psychiatry Physician
  • South Pasadena, CA
  • NPI 1659517803
  Medicare reassignment NPD Authorized official
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • Psychiatric Hospital Unit
  • Glendale, CA
  • NPI 1336138403
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1619031556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 GARFIELD AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302807",
            "telephone_number": "310-726-3983",
            "fax_number": "626-441-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GARFIELD AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302807",
            "telephone_number": "310-726-3983",
            "fax_number": "626-441-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTSIK",
        "first_name": "LEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A054951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.