Active NPI
David Jacob Bender, MD
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1699988717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C18971
- Practice address
- 10921 Wilshire Blvd
#602
Los Angeles, CA 90024 - Phone
- (310) 208-7218
- Fax
- (310) 451-9745
- NPI assigned
- May 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C18971 | CA | Primary |
Addresses
Primary practice location
10921 Wilshire Blvd
#602
Los Angeles, CA 90024
Mailing address
13224 Jonesboro PL
Los Angeles, CA 90049
Phone (310) 208-7218
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699988717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13224 JONESBORO PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90049",
"telephone_number": "310-208-7218",
"fax_number": "310-451-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "#602",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-208-7218",
"fax_number": "310-451-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "DAVID",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C18971",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.