Organization Active NPI

Pratik Mehta M.D., Inc.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1821704321
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PRATIK MEHTA M.D., INC.
Practice address
10323 Santa Monica Blvd Ste 101
Los Angeles, CA 90025-5056
Phone
(818) 293-8274
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Pratik Ashok Mehta, MDNPI 1861854101
Title
Ceo
Phone
(818) 293-8274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10323 Santa Monica Blvd Ste 101
Los Angeles, CA 90025-5056

Mailing address

9854 National Blvd # 1233
Los Angeles, CA 90034-2713
Phone (818) 293-8274

National Provider Directory

National Provider Directory

Locations

10323 Santa Monica Blvd
Ste 101
Los Angeles, CA 90025
Phone (310) 360-0902

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1821704321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9854 NATIONAL BLVD # 1233",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342713",
            "telephone_number": "818-293-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "818-293-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATIK MEHTA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_middle_name": "ASHOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-293-8274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.