Organization Active NPI

Flatow Medical Corporation Apc

Doing business as Pacific Mind Health

  • Psychiatry Physician
  • Torrance, CA
National Provider Identifier
1659970333
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FLATOW MEDICAL CORPORATION APC
Doing business as
Pacific Mind Health
Pacific Mind Spa
Practice address
4840 Mindora Dr
Torrance, CA 90505-2140
Phone
(562) 279-0180
Fax
(507) 262-3948
NPI assigned
Oct 22, 2020
Last updated
Nov 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Dr. Joshua Mark Flatow, MDNPI 1487996302
Title
Owner
Phone
(562) 279-0180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4840 Mindora Dr
Torrance, CA 90505-2140

Mailing address

4840 Mindora Dr
Torrance, CA 90505-2140
Phone (562) 279-0180

Other practice location 1

320 Pine Ave Ste 609
Long Beach, CA 90802-2310
Phone (310) 279-0180

Other names 2

  • Pacific Mind Health Doing business as
  • Pacific Mind Spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210329001683 CA Part B Supplier - Clinic/Group Practice 6507273059 Receives reassigned benefits from 25 practitioners
Practice locations: Marina del Rey, CA; Los Angeles, CA; Long Beach, CA; Irvine, CA; Hermosa Beach, CA; Laguna Niguel, CA

National Provider Directory

National Provider Directory

Locations

16485 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (310) 571-5041

2211 Corinth Ave
Ste 300
Los Angeles, CA 90064
Phone (562) 279-0180

475 Washington Blvd
Marina del Rey, CA 90292
Phone (310) 439-3736

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1659970333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 MINDORA DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052140",
            "telephone_number": "562-279-0180",
            "fax_number": "507-262-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 MINDORA DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052140",
            "telephone_number": "562-279-0180",
            "fax_number": "507-262-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pine Ave Ste 609",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908022310",
            "country_code": "US",
            "telephone_number": "310-279-0180",
            "fax_number": "507-262-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLATOW MEDICAL CORPORATION APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "FLATOW",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-279-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Mind Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Mind Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Mind Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.