Individual provider Active NPI

Andrea Tizes Feinberg, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1689685216
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
GO74644 Issued in CA
Practice address
9201 Sunset Blvd
Suite 701
Los Angeles, CA 90069
Phone
(310) 855-2558
Fax
(888) 747-2520
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X GO74644 CA
Pulmonary Disease Physician 207RP1001X GO74644 CA Primary

Addresses

Primary practice location

9201 Sunset Blvd
Suite 701
Los Angeles, CA 90069

Mailing address

9201 W Sunset Blvd
Suite 701
Los Angeles, CA 90069-3701
Phone (310) 855-2558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000282 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1052332186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GO74644CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert N Wolfe MD and Andrew S Wachtel MD a Partner of Prof Pulmonary Disease PastSince Apr 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1689685216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD",
            "address_2": "SUITE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-855-2558",
            "fax_number": "888-747-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SUNSET BLVD",
            "address_2": "SUITE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-855-2558",
            "fax_number": "888-747-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "ANDREA",
        "middle_name": "TIZES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "GO74644",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "GO74644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.