Active NPI
John Adam Landsberger, D.O.
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1700115698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 20A4872
- Practice address
- 10970 Bellagio Rd
Los Angeles, CA 90077-3203 - Phone
- (310) 617-3302
- NPI assigned
- Dec 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 20A4872 | CA | |
| Urology Physician | 208800000X | 20A4872 | CA | Primary |
Addresses
Primary practice location
10970 Bellagio Rd
Los Angeles, CA 90077-3203
Mailing address
10970 Bellagio Rd
Los Angeles, CA 90077-3203
Phone (310) 617-3302
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4872 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1700115698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10970 BELLAGIO RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900773203",
"telephone_number": "310-617-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10970 BELLAGIO RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900773203",
"telephone_number": "310-617-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDSBERGER",
"first_name": "JOHN",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "20A4872",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "20A4872",
"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 Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.