Active NPI
Philip A. Stutz, PHILIP STUTZ, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1972756807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G34832
- Practice address
- 11701 Texas Ave
Apartment 309
Los Angeles, CA 90025-1601 - Phone
- (310) 478-9560
- NPI assigned
- Oct 23, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G34832 | CA | Primary |
Addresses
Primary practice location
11701 Texas Ave
Apartment 309
Los Angeles, CA 90025-1601
Mailing address
11701 Texas Ave
Apartment 309
Los Angeles, CA 90025-1601
Phone (310) 478-9560
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 |
|---|---|---|---|
| G34832 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1972756807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 TEXAS AVE",
"address_2": "APARTMENT 309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251601",
"telephone_number": "310-478-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 TEXAS AVE",
"address_2": "APARTMENT 309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251601",
"telephone_number": "310-478-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZ",
"first_name": "PHILIP",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHILIP STUTZ, M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G34832",
"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 Oct 23, 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.