Organization Active NPI

L G Gatus Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1871815043
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A45231 Issued in CA
Legal business name
L G GATUS MEDICAL GROUP INC
Practice address
531 N Larchmont Blvd
Los Angeles, CA 90004-1305
Phone
(323) 462-7574
Fax
(323) 462-7156
NPI assigned
Feb 15, 2010
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Leandro GatusNPI 1194808980
Title
President
Phone
(323) 462-7574

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X A45231 CA
General Practice Physician 208D00000X A45231 CA Primary

Addresses

Primary practice location

531 N Larchmont Blvd
Los Angeles, CA 90004-1305

Mailing address

531 N Larchmont Blvd
Los Angeles, CA 90004-1305
Phone (323) 462-7574

National Provider Directory

National Provider Directory

Locations

531 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 462-7574

14400 Roscoe Blvd
Ste D
Panorama City, CA 91402
Phone (818) 893-5819

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.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1871815043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041305",
            "telephone_number": "323-462-7574",
            "fax_number": "323-462-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N LARCHMONT BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041305",
            "telephone_number": "323-462-7574",
            "fax_number": "323-462-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L G GATUS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "GATUS",
        "authorized_official_first_name": "LEANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-462-7574"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A45231",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45231",
            "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 May 7, 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.

Verify at the official NPI Registry.