Organization Active NPI

Martin S Fischer a Medical Corporation

  • Behavior Analyst
  • Tarzana, CA
National Provider Identifier
1902047152
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
G6783 Issued in CA
Legal business name
MARTIN S FISCHER A MEDICAL CORPORATION
Practice address
4669 Arriba Dr
Tarzana, CA 91356-4825
Phone
(818) 705-3635
NPI assigned
Mar 18, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Martin S Fischer, MDNPI 1801892799
Title
Physician
Phone
(818) 705-3635

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X G6783 CA Primary

Addresses

Primary practice location

4669 Arriba Dr
Tarzana, CA 91356-4825

Mailing address

4669 Arriba Dr
Tarzana, CA 91356-4825
Phone (818) 705-3635

Other identifiers 1

IdentifierTypeStateIssuer
000G67830MedicaidCA

National Provider Directory

National Provider Directory

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": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1902047152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 ARRIBA DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564825",
            "telephone_number": "818-705-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 ARRIBA DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564825",
            "telephone_number": "818-705-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN S FISCHER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-705-3635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "G6783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G67830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.