Active NPI
Mary Catherine Murphy, MD
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1902851652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A81699
- Practice address
- 11301 Wilshire Blvd # 10P
Los Angeles, CA 90073-1003 - Phone
- (310) 478-3711
- Fax
- (310) 268-4272
- NPI assigned
- May 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A81699 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd # 10P
Los Angeles, CA 90073-1003
Mailing address
11301 Wilshire Blvd # 10P
Los Angeles, CA 90073-1003
Phone (310) 478-3711
Other practice location 1
995 Potrero Ave
San Francisco, CA 94110-2859
Phone (415) 206-4479
Other practice location 2
16111 Plummer St Bldg 99
North Hills, CA 91343-2036
Phone (818) 891-7711 ext. 38934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A816990 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170913002397 | CA | Order and Referring Only - Hospice/Palliative Care | 4981644911 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81699 | CA | MD | Pharmacist |
| A81699 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902851652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD # 10P",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-478-3711",
"fax_number": "310-268-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD # 10P",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-478-3711",
"fax_number": "310-268-4272"
}
],
"practiceLocations": [
{
"address_1": "995 Potrero Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102859",
"country_code": "US",
"telephone_number": "415-206-4479",
"fax_number": "415-206-6135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16111 Plummer St Bldg 99",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913432036",
"country_code": "US",
"telephone_number": "818-891-7711 x38934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURPHY",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A81699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A816990",
"state": "CA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.