Jason Graber, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A61332 Issued in CA

Practice address

420 S Beverly Dr
Suite 209
Beverly Hills, CA 90212-4426

Phone

(310) 282-8838

Fax

(310) 788-0431

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1730213745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR",
            "address_2": "SUITE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124426",
            "telephone_number": "310-282-8838",
            "fax_number": "310-788-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR",
            "address_2": "SUITE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124426",
            "telephone_number": "310-282-8838",
            "fax_number": "310-788-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "JASON",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A61332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A61332",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blima Chana Gottlieb, DDS
• Emanuel Gottlieb, D.D.S.
• Simcha Neeli Gottlieb, DDS
• Daniel Joseph Gould, MD PHD
• Gozde Gokozan, LMFT, LPCC, Marriage, Family and Child Professional Cou
• Karen Nicole Graber, LMFT
• Grace Lee Peng, MD
• Grace Surgical
• Wayne Stuart Gradman, M.D.
• Frederick Grady, MD

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.