Organization Active NPI

Joel Zisk, M.D., Incorporated

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1992077614
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A17595 Issued in CA
Legal business name
JOEL ZISK, M.D., INCORPORATED
Practice address
8631 W Third St
Suite 710E
Los Angeles, CA 90048
Phone
(310) 278-0567
Fax
(310) 854-5672
NPI assigned
Jan 27, 2012
Organization subpart
Yes
Parent organization
JOEL ZISK, M.D., INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Joel Zisk, M.D.
Title
President
Phone
(310) 278-0567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A17595 CA Primary

Addresses

Primary practice location

8631 W Third St
Suite 710E
Los Angeles, CA 90048

Mailing address

8631 W Third St
Suite 710E
Los Angeles, CA 90048
Phone (310) 278-0567

National Provider Directory

National Provider Directory
Part of
Joel Zisk MD Incorporated

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1992077614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W THIRD ST",
            "address_2": "SUITE 710E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-278-0567",
            "fax_number": "310-854-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W THIRD ST",
            "address_2": "SUITE 710E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-278-0567",
            "fax_number": "310-854-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL ZISK, M.D., INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOEL ZISK, M.D., INCORPORATED",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "ZISK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-278-0567",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A17595",
            "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 Jan 27, 2012; 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.