Active NPI
Louis F. Delia IV, PH.D.
- Clinical Neuropsychologist
- Santa Monica, CA
National Provider Identifier
1962519835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY11153
- Practice address
- 1137 2ND St
#106
Santa Monica, CA 90403-5011 - Phone
- (310) 451-9100
- NPI assigned
- Aug 24, 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY11153 | CA | Primary |
Addresses
Primary practice location
1137 2ND St
#106
Santa Monica, CA 90403-5011
Mailing address
1137 2ND St
#106
Santa Monica, CA 90403-5011
Phone (310) 451-9100
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11153 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962519835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 2ND ST",
"address_2": "#106",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035011",
"telephone_number": "310-451-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 2ND ST",
"address_2": "#106",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035011",
"telephone_number": "310-451-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIA",
"first_name": "LOUIS",
"middle_name": "F.",
"name_suffix": "IV",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY11153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, 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.