Organization Active NPI

Ilan Hartstein, MD. Inc

  • Ophthalmology Physician
  • La Palma, CA
National Provider Identifier
1659601987
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G59917 Issued in CA
Legal business name
ILAN HARTSTEIN, MD. INC
Practice address
7851 Walker St
Suite 207
La Palma, CA 90623-1747
Phone
(714) 522-4862
Fax
(714) 522-4293
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Mr. Ilan Hartstein, M.D.
Title
President, Doctor
Phone
(714) 522-4862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G59917 CA Primary

Addresses

Primary practice location

7851 Walker St
Suite 207
La Palma, CA 90623-1747

Mailing address

7851 Walker St
Suite 207
La Palma, CA 90623-1747
Phone (714) 522-4862

Other identifiers 1

IdentifierTypeStateIssuer
00G0599170MedicaidCA

Other names 1

  • Ilan Hartstein, MD. Inc Doing business as

National Provider Directory

National Provider Directory

Locations

7851 Walker St
Ste 207
La Palma, CA 90623
Phone (714) 522-4862

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1659601987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 207",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-522-4862",
            "fax_number": "714-522-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 207",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-522-4862",
            "fax_number": "714-522-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAN HARTSTEIN, MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "HARTSTEIN",
        "authorized_official_first_name": "ILAN",
        "authorized_official_title_or_position": "PRESIDENT, DOCTOR",
        "authorized_official_telephone_number": "714-522-4862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G59917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G0599170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilan Hartstein, MD. Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.