Organization Active NPI

Michael D. Landman, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Tarzana, CA
National Provider Identifier
1629327994
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A22817 Issued in CA
Legal business name
MICHAEL D. LANDMAN, M.D., INC.
Practice address
5525 Etiwanda Ave
Suite 312
Tarzana, CA 91356-3647
Phone
(818) 609-0600
Fax
(818) 609-1680
NPI assigned
Sep 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

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

Authorized official

Name
Dr. Michael D. Landman, M.D.
Title
President
Phone
(818) 609-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A22817 CA Primary

Addresses

Primary practice location

5525 Etiwanda Ave
Suite 312
Tarzana, CA 91356-3647

Mailing address

5525 Etiwanda Ave
Suite 312
Tarzana, CA 91356-3647
Phone (818) 609-0600

Other identifiers 1

IdentifierTypeStateIssuer
00A228170MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346544000000",
    "number": "1629327994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 312",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-609-0600",
            "fax_number": "818-609-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE",
            "address_2": "SUITE 312",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563647",
            "telephone_number": "818-609-0600",
            "fax_number": "818-609-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. LANDMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A",
        "authorized_official_last_name": "LANDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-609-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A22817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A228170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 2012; 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.