Active NPI
Vivekanand Datta, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
National Provider Identifier
1740400191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 390200000X
- Practice address
- 8700 Beverly Blvd.
Cedar Sinai
Los Angeles, CA 90048 - Phone
- (310) 423-6941
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 390200000X | TN | Primary |
Addresses
Primary practice location
8700 Beverly Blvd.
Cedar Sinai
Los Angeles, CA 90048
Mailing address
11767 Skylark Rd
Clarksburg, MD 20871
Phone (901) 786-4755
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 Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1740400191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11767 SKYLARK RD",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "20871",
"telephone_number": "901-786-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD.",
"address_2": "CEDAR SINAI",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048",
"telephone_number": "310-423-6941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATTA",
"first_name": "VIVEKANAND",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "390200000X",
"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 Jul 13, 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.