Organization Active NPI

David a. Pougatsch, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1912373952
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4977 Issued in CA
Legal business name
DAVID A. POUGATSCH, DPM, INC.
Practice address
250 N Robertson Blvd Ste 106
Beverly Hills, CA 90211-1767
Phone
(310) 919-4179
Fax
(877) 239-0994
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. David Pougatsch
Title
Ceo
Phone
(818) 922-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4977 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd Ste 106
Beverly Hills, CA 90211-1767

Mailing address

9663 Santa Monica Blvd # 682
Beverly Hills, CA 90210-4303
Phone (818) 922-2244

National Provider Directory

National Provider Directory

Locations

4849 Van Nuys Blvd
Ste 210
Sherman Oaks, CA 91403
Phone (818) 922-2244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1912373952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 682",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "818-922-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111767",
            "telephone_number": "310-919-4179",
            "fax_number": "877-239-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. POUGATSCH, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "POUGATSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-922-2244",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.