Active NPI
David a. Pougatsch, DPM, Inc.
- Foot & Ankle Surgery Podiatrist
- Beverly Hills, CA
National Provider Identifier
1912373952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4977
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 DirectoryLocations
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.