GERALD IVAN ROZANSKY (NPI# 1356543797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356543797 |
| Entity Type | Individual |
| Full Name | GERALD IVAN ROZANSKY |
| Credential | M.D., PH.D. |
| Practice Address |
1850 Sawtelle Blvd 490 Los Angeles CA 90025-7084 |
| Practice Telephone | 3104776355 |
| Practice Fax Number | 3104735420 |
| Mailing Telephone | 3104776355 |
| Mailing Fax Number | 3104735420 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
G5557 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | G5557 | 01 |
| Street Address |
1850 SAWTELLE BLVD 490 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851381883 | Susan Margaret Brace | Psychologist | 1850 Sawtelle Blvd, Suite 400, Los Angeles, CA 90025-7084 | 2005-10-21 |
| 1922294446 | Jill Kohn | Psychologist | 1850 Sawtelle Blvd, Suite 400, Los Angeles, CA 90025-7084 | 2007-09-18 |
| 1477602845 | Margaret Mary Sheehan | Psychologist | 1850 Sawtelle Blvd, Suite 400, Los Angeles, CA 90025-7084 | 2007-01-08 |
| 1942383088 | Ildiko Tabori Corral | Psychologist | 1850 Sawtelle Blvd, Los Angeles, Los Angeles, CA 90025-7084 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081327 | Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. | Psychiatry & Neurology | 6801 Park Ter # 530b, Los Angeles, CA 90045-1543 | 2019-03-06 |
| 1689895195 | Daniel William Schaefer | Psychiatry & Neurology | 8730 Alden Dr #c-301, Los Angeles, CA 90048 | 2007-05-01 |
| 1003182007 | Christopher Bradley Lening | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1544 | 2012-03-24 |
| 1770710501 | Brian Hurley | Psychiatry & Neurology | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2009-06-19 |
| 1003075037 | Inna Keselman | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2008-06-05 |
| 1215054481 | Phuong Chi Truong | Psychiatry & Neurology | 1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5321 | 2007-03-23 |
| 1912034141 | Praveen Reddy Kambam | Psychiatry & Neurology | 11500 W Olympic Blvd, 538, Los Angeles, CA 90064 | 2007-02-27 |
| 1871666776 | Vera Marie Muensch | Psychiatry & Neurology | 529 Maple Ave, Los Angeles, CA 90013-1511 | 2006-11-16 |
| 1659455244 | Charles Patterson | Psychiatry & Neurology | 1200 N State St, Los Angeles, CA 90033-1029 | 2006-10-24 |
| 1669560181 | Roderick Emmanuel Shaner | Psychiatry & Neurology | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2006-10-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on GERALD IVAN ROZANSKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.