Individual provider Active NPI

Gopal Krishan Batra, M.D

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1972538437
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A29739 Issued in CA
Practice address
912 Teakwood Rd
Los Angeles, CA 90049-1332
Phone
(310) 786-7100
Fax
(310) 472-4459
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A29739 CA Primary

Addresses

Primary practice location

912 Teakwood Rd
Los Angeles, CA 90049-1332

Mailing address

912 Teakwood Rd
Los Angeles, CA 90049-1332
Phone (310) 786-7100

Other identifiers 1

IdentifierTypeStateIssuer
00A297390OtherCAMEDICAL PPIN #

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 Medicine

State licenses

LicenseStateTypeSpecialty
29739CAMDClinical Social Worker
A29739CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1972538437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 TEAKWOOD RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491332",
            "telephone_number": "310-786-7100",
            "fax_number": "310-472-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 TEAKWOOD RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491332",
            "telephone_number": "310-786-7100",
            "fax_number": "310-472-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATRA",
        "first_name": "GOPAL",
        "middle_name": "KRISHAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A29739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A297390",
            "state": "CA"
        }
    ],
    "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 Dec 30, 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.

Verify at the official NPI Registry.