NPIMap

Organization Active NPI

Branko Radisavljevic M.D. Inc.

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1982941902
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A31008 Issued in CA
Legal business name
BRANKO RADISAVLJEVIC M.D. INC.
Practice address
335 Redondo Ave
Long Beach, CA 90814-2652
Phone
(562) 434-3030
Fax
(562) 434-3212
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Branko Radisavljevic, M.D.
Title
President
Phone
(562) 434-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A31008 CA Primary

Addresses

Primary practice location

335 Redondo Ave
Long Beach, CA 90814-2652

Mailing address

335 Redondo Ave
Long Beach, CA 90814-2652
Phone (562) 434-3030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1982941902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142652",
            "telephone_number": "562-434-3030",
            "fax_number": "562-434-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142652",
            "telephone_number": "562-434-3030",
            "fax_number": "562-434-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANKO RADISAVLJEVIC M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "RADISAVLJEVIC",
        "authorized_official_first_name": "BRANKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-434-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A31008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.