Active NPI
Andrea Tizes Feinberg, M.D.
- Pulmonary Disease Physician
- Los Angeles, CA
National Provider Identifier
1689685216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- GO74644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110607000282 | CA | Order and Referring Only - Internal Medicine | 1052332186 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GO74644 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert N Wolfe MD and Andrew S Wachtel MD a Partner of Prof | Pulmonary Disease | Past | 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.
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1629178470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.