Active NPI
Peera Hemarajata, PHD
- Medical Microbiology Physician
- Los Angeles, CA
National Provider Identifier
1891223210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Microbiology Physician
- License
- MTE00102040
- Practice address
- 11633 San Vicente Blvd
Los Angeles, CA 90049-6511 - Phone
- (310) 794-2720
- Fax
- (310) 794-2765
- NPI assigned
- May 30, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Microbiology Physician | 207ZM0300X | MTE00102040 | CA | Primary |
Addresses
Primary practice location
11633 San Vicente Blvd
Los Angeles, CA 90049-6511
Mailing address
6500 Green Valley Cir Apt 111
Culver City, CA 90230-7012
Phone (424) 394-5929
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTE00102040 | CA | MD | Medical Microbiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1891223210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 GREEN VALLEY CIR APT 111",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902307012",
"telephone_number": "424-394-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496511",
"telephone_number": "310-794-2720",
"fax_number": "310-794-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMARAJATA",
"first_name": "PEERA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "CA",
"license": "MTE00102040",
"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 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.