Organization Active NPI

Robert N Wolfe MD and Andrew S Wachtel MD a Partner of Prof

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1629178470
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G32286 Issued in CA
Legal business name
ROBERT N WOLFE MD AND ANDREW S WACHTEL MD A PARTNER OF PROF
Practice address
8635 W 3Rd St
Suite 965W
Los Angeles, CA 90048-6106
Phone
(310) 657-3792
Fax
(310) 657-3799
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Robert Norton Wolfe, MD
Title
MD Partner
Phone
(310) 657-3792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X G32286 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
Suite 965W
Los Angeles, CA 90048-6106

Mailing address

8635 W 3Rd St
Suite 965W
Los Angeles, CA 90048-6106
Phone (310) 657-3792

Other identifiers 1

IdentifierTypeStateIssuer
GR0056470MedicaidCA

National Provider Directory

National Provider Directory

Locations

8635 W 3rd St
Ste 475W
Los Angeles, CA 90048
Phone (213) 657-3792

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1629178470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 965W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486106",
            "telephone_number": "310-657-3792",
            "fax_number": "310-657-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 965W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486106",
            "telephone_number": "310-657-3792",
            "fax_number": "310-657-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N WOLFE MD AND ANDREW S WACHTEL MD A PARTNER OF PROF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "MD PARTNER",
        "authorized_official_telephone_number": "310-657-3792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G32286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056470",
            "state": "CA"
        }
    ],
    "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 27, 2016; 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.