Active NPI
Marc Angeles Logarta, MD
- Anesthesiology Physician
- Sylmar, CA
National Provider Identifier
1790853588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A90323
- Practice address
- 14445 Olive View Drive
Olive View UCLA Medical Center
Sylmar, CA 91342 - Phone
- (818) 364-3031
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A90323 | CA | Primary |
Addresses
Primary practice location
14445 Olive View Drive
Olive View UCLA Medical Center
Sylmar, CA 91342
Mailing address
3241 South Sepulveda Blvd Apartment 309
Los Angeles, CA 90034
Phone (310) 279-8644
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90323 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790853588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 SOUTH SEPULVEDA BLVD APARTMENT 309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90034",
"telephone_number": "310-279-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DRIVE",
"address_2": "OLIVE VIEW UCLA MEDICAL CENTER",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-364-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGARTA",
"first_name": "MARC",
"middle_name": "ANGELES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A90323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.