Organization Active NPI

Larry M. Isaacs, M.D., Inc.

  • Surgery Physician
  • Palmdale, CA
National Provider Identifier
1982845723
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G86613 Issued in CA
Legal business name
LARRY M. ISAACS, M.D., INC.
Practice address
41230 11TH St W
Suite B
Palmdale, CA 93551-1411
Phone
(661) 212-0650
NPI assigned
Mar 6, 2009
Last updated
Mar 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Larry M Isaacs, M.D.
Title
President
Phone
(661) 212-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G86613 CA Primary

Addresses

Primary practice location

41230 11TH St W
Suite B
Palmdale, CA 93551-1411

Mailing address

PO Box 9126
Canoga Park, CA 91309-0126
Phone (818) 709-8161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1982845723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9126",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913090126",
            "telephone_number": "818-709-8161",
            "fax_number": "818-709-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41230 11TH ST W",
            "address_2": "SUITE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511411",
            "telephone_number": "661-212-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY M. ISAACS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-212-0650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G86613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.