Individual provider Active NPI

Andrea Herzberg Morrison, M.D.

  • Specialist
  • Tarzana, CA
National Provider Identifier
1629144985
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G28567 Issued in CA
Practice address
18399 Ventura Blvd
#239
Tarzana, CA 91356-4233
Phone
(818) 881-0412
Fax
(818) 881-3667
NPI assigned
Nov 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G28567 CA Primary

Addresses

Primary practice location

18399 Ventura Blvd
#239
Tarzana, CA 91356-4233

Mailing address

18399 Ventura Blvd
#239
Tarzana, CA 91356-4233
Phone (818) 881-0412

Other names 1

  • Dr. Andrea Herzberg Nash Former name

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

LicenseStateTypeSpecialty
G28567CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629144985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD",
            "address_2": "#239",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564233",
            "telephone_number": "818-881-0412",
            "fax_number": "818-881-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD",
            "address_2": "#239",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564233",
            "telephone_number": "818-881-0412",
            "fax_number": "818-881-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ANDREA",
        "middle_name": "HERZBERG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "NASH",
            "middle_name": "HERZBERG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.