Active NPI
Martin S Fischer a Medical Corporation
- Behavior Analyst
- Tarzana, CA
National Provider Identifier
1902047152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- G6783
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin S Fischer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G67830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatry Physician
- Tarzana, CA
- NPI 1801892799
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.