Active NPI
Harvey Gutman M.D. a Medical Corporation
- Anesthesiology Physician
- Santa Monica, CA
National Provider Identifier
1811906183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- HARVEY GUTMAN M.D. A MEDICAL CORPORATION
- Practice address
- 2232 Santa Monica Blvd
Santa Monica, CA 90404-2312 - Phone
- (310) 453-8911
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harvey Leonard Gutman, M.D.
- Title
- President
- Phone
- (310) 319-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
2232 Santa Monica Blvd
Santa Monica, CA 90404-2312
Mailing address
225 S Lake Ave
535
Pasadena, CA 91101-3005
Phone (626) 795-6596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C285670 | Other | CA | BLUE SHIELD |
| 00C285670 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1811906183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S LAKE AVE",
"address_2": "535",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013005",
"telephone_number": "626-795-6596",
"fax_number": "626-795-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042312",
"telephone_number": "310-453-8911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVEY GUTMAN M.D. A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "GUTMAN",
"authorized_official_first_name": "HARVEY",
"authorized_official_middle_name": "LEONARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-319-8700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00C285670",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C285670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.