Individual provider Active NPI

Ronald Alan Gershman, M.D.

  • Addiction Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1699145045
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
G29716 Issued in CA
Practice address
12300 Wilshire Blvd
Suite 310
Los Angeles, CA 90025-1020
Phone
(310) 207-7166
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X G29716 CA Primary

Addresses

Primary practice location

12300 Wilshire Blvd
Suite 310
Los Angeles, CA 90025-1020

Mailing address

12300 Wilshire Blvd
Suite 310
Los Angeles, CA 90025-1020
Phone (310) 207-7166

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G29716CAMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1699145045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 WILSHIRE BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251020",
            "telephone_number": "310-207-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 WILSHIRE BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251020",
            "telephone_number": "310-207-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHMAN",
        "first_name": "RONALD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G29716",
            "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 28, 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.

Verify at the official NPI Registry.