Palisades Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

G070850 Issued in CA

Legal business name

PALISADES PEDIATRICS

Practice address

910 Via de la Paz
Suite #207
Pacific Palisades, CA 90272-3515

Phone

(310) 454-4466

Fax

(310) 454-0916

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Harry Geller, MD, PHDNPI 1154350528

Title

Owner

Phone

(310) 454-4466

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H Geller, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1154350528
  NPD (past) Authorized official
• Marcella B. Hardart, MD

  • Pediatrics Physician
  • Pacific Palisades, CA
  • NPI 1265614341
  NPD (past)
• Mary-Margaret Shaffer Kim, M.D.

  • Pediatrics Physician
  • Pacific Palisades, CA
  • NPI 1245422724
  NPD (past)
• Caroline Shim, MD

  • Pediatrics Physician
  • Pacific Palisades, CA
  • NPI 1043359284

  Specialist

  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1689712358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE #207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-4466",
            "fax_number": "310-454-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE #207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-4466",
            "fax_number": "310-454-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-454-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G070850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Options Counseling Center a Psychological Corporation
• Catherine Owens, MA
• Pacific Palisades Medical Group Inc.
• Palisades Compounding Pharmacy Inc
• Palisades Ear Nose Throat and Facial Plastic Specialists a Medic.
• Karen BJ Palkovits-Stauber, DC
• Stacie Palmer, MFT
• Patrick C Park, DDS
• Pathways to Nutrition, Inc.
• Melanie Patton, OTR/L

• All providers in Pacific Palisades, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.