Abraham Tzadik, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A43023 Issued in CA

Practice address

1304 15TH St Ste 405
Santa Monica, CA 90404-1813

Phone

(310) 305-1020

Fax

(310) 823-4785

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1659424943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 15TH ST STE 405",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041813",
            "telephone_number": "310-305-1020",
            "fax_number": "310-823-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST STE 405",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041813",
            "telephone_number": "310-305-1020",
            "fax_number": "310-823-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZADIK",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctort@tzadik.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1304 15th St Ste 405",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904041813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Shelby Turock, MD
• Ksenya Tveritina
• Przemyslaw Twardowski, MD
• Douglas Tyler, MD
• Nancy Tyre
• Laura Ubrig
• UC Regents
• UC Regents UCLA Department of Med Prof Group
• UC Regents UCLA Department of Medicine Prof Group
• UC Regents UCLA Dept of Med PR

• Specialist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.