Active NPI
William T Vicary J D M D a Medical Corporation
Doing business as Forensic Consultant
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1841473287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G30952
- Legal business name
- WILLIAM T VICARY J D M D A MEDICAL CORPORATION
- Doing business as
- Forensic Consultant
- Practice address
- 3575 Cahuenga Blvd W
Suite 300
Los Angeles, CA 90068-1366 - Phone
- (323) 876-9133
- Fax
- (323) 876-4716
- NPI assigned
- Dec 7, 2007
- 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
- Dr. William T Vicary, M.D.
- Title
- President
- Phone
- (323) 876-9133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G30952 | CA | Primary |
Addresses
Primary practice location
3575 Cahuenga Blvd W
Suite 300
Los Angeles, CA 90068-1366
Mailing address
3575 Cahuenga Blvd W
Suite 300
Los Angeles, CA 90068-1366
Phone (323) 876-9133
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G30952 | Other | CA | BLUE CROSS |
| G30952 | Other | CA | BLUE SHIELD |
| G30952 | Other | CA | AETNA |
| G30952 | Other | CA | HEALTHNET |
| G30952 | Other | CA | CIGNA |
| G30952 | Other | CA | UNITED HEALTHCARE |
Other names 1
- FORENSIC CONSULTANT
National Provider Directory
National Provider DirectoryLocations
3575 Cahuenga Blvd W
Ste 300
Los Angeles, CA 90068
Phone (323) 876-9133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Los Angeles, CA
- NPI 1396876678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1841473287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 CAHUENGA BLVD W",
"address_2": "SUITE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681366",
"telephone_number": "323-876-9133",
"fax_number": "323-876-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 CAHUENGA BLVD W",
"address_2": "SUITE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681366",
"telephone_number": "323-876-9133",
"fax_number": "323-876-4716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM T VICARY J D M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "VICARY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-876-9133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G30952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G30952",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "G30952",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "G30952",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "G30952",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "G30952",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "G30952",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FORENSIC CONSULTANT",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.