Active NPI
Michael August Austerlitz, MD
- Nephrology Physician
- Los Angeles, CA
National Provider Identifier
1912096454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A25290
- Practice address
- 4588 Whittier Blvd
Los Angeles, CA 90022 - Phone
- (323) 265-2917
- Fax
- (323) 265-4959
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A25290 | CA | Primary |
Addresses
Primary practice location
4588 Whittier Blvd
Los Angeles, CA 90022
Mailing address
PO Box 74820
Los Angeles, CA 90077
Phone (323) 265-2917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A252902 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25290 | CA | MD | Nephrology Physician |
| 25290 | CA | MD | Pulmonary Function Technologist Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912096454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74820",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90077",
"telephone_number": "323-265-2917",
"fax_number": "323-265-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4588 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90022",
"telephone_number": "323-265-2917",
"fax_number": "323-265-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTERLITZ",
"first_name": "MICHAEL",
"middle_name": "AUGUST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A25290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A252902",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.