Organization Active NPI

Louis J Katzman MD a Professional Corporation

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1790058501
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G27392 Issued in CA
Legal business name
LOUIS J KATZMAN MD A PROFESSIONAL CORPORATION
Practice address
6071 Via Regla
San Diego, CA 92122-3924
Phone
(858) 457-1212
Fax
(619) 615-2249
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Louis Katzman, MD
Title
President/Provider
Phone
(858) 457-1973

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X G27392 CA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G27392 CA Primary

Addresses

Primary practice location

6071 Via Regla
San Diego, CA 92122-3924

Mailing address

6071 Via Regla
San Diego, CA 92122-3924
Phone (858) 457-1212

Other identifiers 3

IdentifierTypeStateIssuer
1194835058OtherCANPI (INDIVIDUAL)
00G273920MedicaidCA
1790058501OtherCANPI (CORPORATION)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1790058501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 VIA REGLA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921223924",
            "telephone_number": "858-457-1212",
            "fax_number": "619-615-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 VIA REGLA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921223924",
            "telephone_number": "858-457-1212",
            "fax_number": "619-615-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J KATZMAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "KATZMAN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "858-457-1973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G27392",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G27392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1194835058",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G273920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  (CORPORATION)",
            "identifier": "1790058501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.