NPIMap

Organization Active NPI

Danielle Borut MD Inc Samuel Bruttomesso MD Inc Et Al PTR White Memori

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1851497002
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DANIELLE BORUT MD INC SAMUEL BRUTTOMESSO MD INC ET AL PTR WHITE MEMORI
Practice address
1701 E. Cesar E. Chavez Ave
Suite 456
Los Angeles, CA 90033
Phone
(323) 987-1200
Fax
(323) 987-1212
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Danielle L. Borut, M.D.NPI 1407884562
Title
Managing Partner
Phone
(323) 987-1200

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1701 E. Cesar E. Chavez Ave
Suite 456
Los Angeles, CA 90033

Mailing address

1701 E. Cesar E. Chavez Ave
Suite 532
Los Angeles, CA 90033
Phone (323) 987-1200

National Provider Directory

National Provider Directory

Locations

1701 E Cesar E Chavez Ave
#3000
Los Angeles, CA 90033

Practitioners & affiliated clinicians

Practitioners 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1851497002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E. CESAR E. CHAVEZ AVE",
            "address_2": "SUITE 532",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E. CESAR E. CHAVEZ AVE",
            "address_2": "SUITE 456",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-987-1200",
            "fax_number": "323-987-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE BORUT MD INC SAMUEL BRUTTOMESSO MD INC ET AL PTR WHITE MEMORI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BORUT",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "323-987-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Aug 11, 2008; 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.