Active NPI
Susan G. Menkes, LCSW
- Health Maintenance Organization
- Tarzana, CA
National Provider Identifier
1770739823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- LCS 7924
- Practice address
- 4974 Palo Dr
Tarzana, CA 91356-4441 - Phone
- (818) 705-8644
- Fax
- (818) 705-6244
- NPI assigned
- Aug 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | LCS 7924 | CA | Primary |
Addresses
Primary practice location
4974 Palo Dr
Tarzana, CA 91356-4441
Mailing address
4974 Palo Dr
Tarzana, CA 91356-4441
Phone (818) 705-8644
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 7924 | CA | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1770739823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4974 PALO DR",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564441",
"telephone_number": "818-705-8644",
"fax_number": "818-705-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4974 PALO DR",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564441",
"telephone_number": "818-705-8644",
"fax_number": "818-705-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENKES",
"first_name": "SUSAN",
"middle_name": "G.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "LCS 7924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.