Organization Active NPI

Tristar Wilshire Orthopedic and Rehabilitation Center

  • Legal Medicine (M.D./D.O.) Physician
  • Los Angeles, CA
National Provider Identifier
1700190378
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X
Legal business name
TRISTAR WILSHIRE ORTHOPEDIC AND REHABILITATION CENTER
Practice address
6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801
Phone
(323) 933-3434
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Maria Brickman, MD
Title
Medical Director
Phone
(323) 933-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine (M.D./D.O.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 209800000X Primary

Addresses

Primary practice location

6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801

Mailing address

6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801
Phone (323) 933-3434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1700190378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-933-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-933-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR WILSHIRE ORTHOPEDIC AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-933-3434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "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 Aug 5, 2010; 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.