Active NPI
Semyon I Emert, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1689775892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A37223
- Practice address
- 1417 1/2N Gardner St
Los Angeles, CA 90046-4156 - Phone
- (323) 646-2506
- Fax
- (323) 850-0784
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A37223 | CA | Primary |
Addresses
Primary practice location
1417 1/2N Gardner St
Los Angeles, CA 90046-4156
Mailing address
1415 1/2 N Gardner St
Los Angeles, CA 90046-4156
Phone (323) 850-0564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A372230 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37223 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1689775892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 1/2 N GARDNER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464156",
"telephone_number": "323-850-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 1/2N GARDNER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464156",
"telephone_number": "323-646-2506",
"fax_number": "323-850-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERT",
"first_name": "SEMYON",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A37223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A372230",
"state": "CA"
}
],
"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 Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.