Active NPI
Photis Loizides, M.D.
- Plastic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1952634826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A109369
- Practice address
- 1510 San Pablo St
Room 514
Los Angeles, CA 90033-5320 - Phone
- (323) 442-7903
- Fax
- (323) 442-7901
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A109369 | CA | Primary |
Addresses
Primary practice location
1510 San Pablo St
Room 514
Los Angeles, CA 90033-5320
Mailing address
2302 Holly Dr
Los Angeles, CA 90068-2712
Phone (323) 691-4105
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109369 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1952634826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 HOLLY DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900682712",
"telephone_number": "323-691-4105",
"fax_number": "323-442-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 SAN PABLO ST",
"address_2": "ROOM 514",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335320",
"telephone_number": "323-442-7903",
"fax_number": "323-442-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOIZIDES",
"first_name": "PHOTIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A109369",
"primary": true
}
],
"identifiers": [],
"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 Sep 10, 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.