Active NPI
Lawrence Ian Kagan, M.D., F.A.A.P.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1851562318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A102946
- Practice address
- 12301 Wilshire Blvd Ste 120
Los Angeles, CA 90025-1099 - Phone
- (310) 500-5546
- NPI assigned
- Mar 12, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A102946 | CA | Primary |
Addresses
Primary practice location
12301 Wilshire Blvd Ste 120
Los Angeles, CA 90025-1099
Mailing address
12301 Wilshire Blvd Ste 120
Los Angeles, CA 90025-1099
Phone (310) 500-5546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1851562318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 WILSHIRE BLVD STE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251099",
"telephone_number": "310-500-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 WILSHIRE BLVD STE 120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251099",
"telephone_number": "310-500-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "LAWRENCE",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "M.D., F.A.A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A102946",
"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 Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.