Active NPI
Marie Adachi
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1629496740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A139611
- Practice address
- 200 UCLA Medical PLZ Ste 365a
Los Angeles, CA 90095-8344 - Phone
- (310) 206-8272
- Fax
- (310) 794-2113
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A139611 | CA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A139611 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 365a
Los Angeles, CA 90095-8344
Mailing address
5767 W. Century Blvd. Suite 400
Los Angeles, CA 90045
Other practice location 1
1223 16th St Ste 3100
Santa Monica, CA 90404-1275
Phone (310) 319-4377
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139611 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- madachi147090@alamedahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1629496740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W. CENTURY BLVD. SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 365A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-206-8272",
"fax_number": "310-794-2113"
}
],
"practiceLocations": [
{
"address_1": "1223 16th St Ste 3100",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041275",
"country_code": "US",
"telephone_number": "310-319-4377",
"fax_number": "310-319-4425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADACHI",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A139611",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A139611",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.