Da Sack MD Psychiatry Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DA SACK MD PSYCHIATRY INC

Practice address

4010 Watson Plaza Dr Ste 285
Lakewood, CA 90712-4048

Phone

(562) 497-1505

Fax

(562) 497-1881

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

David A Sack, MDNPI 1467657882

Title

President

Phone

(562) 965-3193

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Andrew Sack, M.D.

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1467657882
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1649875329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19456 WOODLANDS DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485570",
            "telephone_number": "562-965-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DR STE 285",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124048",
            "telephone_number": "562-497-1505",
            "fax_number": "562-497-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA SACK MD PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-965-3193",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Culhno
• Jonathan Cummings
• Kellie Cunningham
• Niya Custer
• Kingkenneth Custodio
• Andrea Dabbs, PHARMD
• Shyam Dahiya, M.D.
• Daisy de Guzman Castro,M.D., AMC
• Marjan Darabi-Hammond
• Cameron Darden

• Psychiatry Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.