Organization Active NPI

Diana Katsman MD PHD Inc

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Encino, CA
National Provider Identifier
1740807080
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
Legal business name
DIANA KATSMAN MD PHD INC
Practice address
3446 Alginet Dr
Encino, CA 91436-4124
Phone
(310) 748-4579
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Dr. Diana Katsman, MD PHDNPI 1306003132
Title
Ceo and Founder
Phone
(310) 748-4579

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
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0108X Primary

Addresses

Primary practice location

3446 Alginet Dr
Encino, CA 91436-4124

Mailing address

3446 Alginet Dr
Encino, CA 91436-4124
Phone (310) 748-4579

Other practice location 1

3640 Lomita Blvd Ste 209
Torrance, CA 90505-3981
Phone (310) 748-4579

Other practice location 2

5455 Wilshire Blvd Ste 1714
Los Angeles, CA 90036-4217
Phone (310) 748-4579

Other practice location 3

16542 Ventura Blvd Ste 120
Encino, CA 91436-5034
Phone (310) 748-4579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210211003252 CA Part B Supplier - Clinic/Group Practice 4587079181 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA; Encino, CA

National Provider Directory

National Provider Directory

Locations

5455 Wilshire Blvd
Ste 1714
Los Angeles, CA 90036
Phone (323) 936-7755

4849 Van Nuys Blvd
#202A
Sherman Oaks, CA 91403

4849 Van Nuys Blvd
Ste 202
Sherman Oaks, CA 91403
Phone (818) 784-5300

3640 Lomita Blvd
Ste 209
Torrance, CA 90505
Phone (310) 373-3233

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1740807080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 ALGINET DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364124",
            "telephone_number": "310-748-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 ALGINET DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364124",
            "telephone_number": "310-748-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Lomita Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053981",
            "country_code": "US",
            "telephone_number": "310-748-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5455 Wilshire Blvd Ste 1714",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364217",
            "country_code": "US",
            "telephone_number": "310-748-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16542 Ventura Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914365034",
            "country_code": "US",
            "telephone_number": "310-748-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANA KATSMAN MD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "310-748-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.