NPIMap

Organization Active NPI

Tolwin Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Culver City, CA
National Provider Identifier
1740227545
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
FNP14380 Issued in CA
Legal business name
TOLWIN PSYCHIATRIC MEDICAL GROUP INC
Practice address
5000 Overland Ave Ste 108
Culver City, CA 90230-4969
Phone
(310) 280-9670
Fax
(310) 280-9675
NPI assigned
Jun 1, 2006
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Michael Tolwin, M.D.NPI 1497797427
Title
President
Phone
(310) 280-9670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X FNP14380 CA Primary

Addresses

Primary practice location

5000 Overland Ave Ste 108
Culver City, CA 90230-4969

Mailing address

PO Box 34841
Los Angeles, CA 90034-0841
Phone (310) 280-9670

Other identifiers 1

IdentifierTypeStateIssuer
GPS000990MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803001265 CA Part B Supplier - Clinic/Group Practice 9830127414 Receives reassigned benefits from 16 practitioners
Practice locations: Culver City, CA

National Provider Directory

National Provider Directory

Locations

5000 Overland Ave
Ste 108
Culver City, CA 90230
Phone (310) 280-9670

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1740227545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34841",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900340841",
            "telephone_number": "310-280-9670",
            "fax_number": "310-280-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 OVERLAND AVE STE 108",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304969",
            "telephone_number": "310-280-9670",
            "fax_number": "310-280-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLWIN PSYCHIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "TOLWIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-280-9670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "FNP14380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS000990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.