Active NPI
Martin S Fischer, MD
- Psychiatry Physician
- Tarzana, CA
National Provider Identifier
1801892799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G6783
- Practice address
- 4669 Arriba Dr
Tarzana, CA 91356-4825 - Phone
- (818) 705-8090
- Fax
- (818) 705-4410
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G6783 | CA | Primary |
Addresses
Primary practice location
4669 Arriba Dr
Tarzana, CA 91356-4825
Mailing address
4669 Arriba Dr
Tarzana, CA 91356-4825
Phone (818) 705-8090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G67830 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6783 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1801892799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4669 ARRIBA DR",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564825",
"telephone_number": "818-705-8090",
"fax_number": "818-705-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4669 ARRIBA DR",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564825",
"telephone_number": "818-705-8090",
"fax_number": "818-705-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MARTIN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G6783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G67830",
"state": "CA"
}
],
"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 Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.