Active NPI
Alexander I Niss, M.D., PH.D.
- Psychiatry Physician
- Sherman Oaks, CA
National Provider Identifier
1740296136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A96312
- Practice address
- 13739 Riverside Dr Ste B
Sherman Oaks, CA 91423-2417 - Phone
- (818) 385-0001
- Fax
- (818) 385-0081
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A96312 | CA | Primary |
Addresses
Primary practice location
13739 Riverside Dr Ste B
Sherman Oaks, CA 91423-2417
Mailing address
10310 Riverside Dr Apt 301
Toluca Lake, CA 91602-2459
Phone (818) 761-6323
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96312 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J O Medical Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1568636009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1740296136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 RIVERSIDE DR APT 301",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022459",
"telephone_number": "818-761-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13739 RIVERSIDE DR STE B",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232417",
"telephone_number": "818-385-0001",
"fax_number": "818-385-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISS",
"first_name": "ALEXANDER",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A96312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.