Active NPI
Dalia Goldfarb-Waysman, M.D.
- Nephrology Physician
- Los Angeles, CA
National Provider Identifier
1699887752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A43497
- Practice address
- 11301 Wilshire Blvd
Mail Code 111G
Los Angeles, CA 90073-1003 - Phone
- (310) 478-3711
- Fax
- (310) 268-4433
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A43497 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd
Mail Code 111G
Los Angeles, CA 90073-1003
Mailing address
17352 W Sunset Blvd
#605-D
Pacific Palisades, CA 90272-4120
Phone (310) 459-4920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43497 | CA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699887752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17352 W SUNSET BLVD",
"address_2": "#605-D",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724120",
"telephone_number": "310-459-4920",
"fax_number": "310-268-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"address_2": "MAIL CODE 111G",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-478-3711",
"fax_number": "310-268-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFARB-WAYSMAN",
"first_name": "DALIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A43497",
"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 Jul 8, 2007; 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.