Active NPI
A Nelson El Amin
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1669804241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G30088
- Practice address
- 4921 Inadale Ave
Los Angeles, CA 90043-1550 - Phone
- (213) 351-7404
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G30088 | CA | Primary |
Addresses
Primary practice location
4921 Inadale Ave
Los Angeles, CA 90043-1550
Mailing address
4921 Inadale Ave
Los Angeles, CA 90043-1550
Phone (213) 351-7404
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30088 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1669804241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 INADALE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431550",
"telephone_number": "213-351-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 INADALE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431550",
"telephone_number": "213-351-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL AMIN",
"first_name": "A NELSON",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G30088",
"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 Sep 7, 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.