NPIMap

Organization Active NPI

David a Sack MD a Professional Medical Corporation

Doing business as Elements Medical Group

  • Addiction Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1992243935
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
20A13416 Issued in CA
Legal business name
DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Elements Medical Group
Practice address
3743 S Barrington Ave
Los Angeles, CA 90066-3218
Phone
(310) 390-2340
Fax
(310) 943-0438
NPI assigned
Feb 10, 2017
Last updated
Feb 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mrs. Cheryl Maplesden, CPC, CHC, CHPC
Title
Sr Director RCM
Phone
(615) 510-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 20A13416 CA Primary

Addresses

Primary practice location

3743 S Barrington Ave
Los Angeles, CA 90066-3218

Mailing address

PO Box 671387
Dallas, TX 75267-1387
Phone (615) 567-7282

Other names 1

  • Elements Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David a Sack MD a Professional Medical Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1992243935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671387",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671387",
            "telephone_number": "615-567-7282",
            "fax_number": "615-261-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 S BARRINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663218",
            "telephone_number": "310-390-2340",
            "fax_number": "310-943-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "SR DIRECTOR RCM",
        "authorized_official_telephone_number": "615-510-3078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "20A13416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2017; 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.