David Reisbord

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8913 Issued in CA

Practice address

12115 Magnolia Blvd
254
North Hollywood, CA 91607-2609

Phone

(323) 788-6114

NPI assigned

Jan 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurology Pediatric Neurology

  • Specialist
  • Los Angeles, CA
  • NPI 1801915798
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1962688283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 MAGNOLIA BLVD",
            "address_2": "254",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916072609",
            "telephone_number": "323-788-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 MAGNOLIA BLVD",
            "address_2": "254",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916072609",
            "telephone_number": "323-788-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISBORD",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G8913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moina Eve Regalado, LMFT
• Regel Foot and Ankle Associates Incorporated
• Wallace Reid
• James Lee Reimann
• Warren J Reingold, MD
• David Mark Rekar, M.D.
• Release Hospice Inc
• Reliable Care Hospice and Palliative Care, Inc.
• Reliable Comfort and Care Hospice, Inc.
• Reliable Medical Products, Inc.

• Family Medicine Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.