DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1811446768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811446768 |
| Entity Type | Organization |
| Organization Name | DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION |
| Other Organization Name | ELEMENTS MEDICAL GROUP |
| Practice Address |
2515 Wilshire Blvd Santa Monica CA 90403-4615 |
| Mailing Address |
Po Box 671387 Dallas TX 75267-1387 |
| Practice Telephone | 8665953105 |
| Practice Fax Number | 4242729302 |
| Mailing Telephone | 6155677282 |
| Mailing Fax Number | 6152618912 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MRS. CHERYL MAPLESDEN (SR DIRECTOR RCM) |
| Authorized Official Telephone | 6155103078 |
| Authorized Official Credential | CPC,CHC,CHPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
G88361 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
20A13416 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Elements Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104377613 | David A Sack Md A Professional Medical Corporation | Psychiatry & Neurology | 20786 Cool Oak Way, Malibu, CA 90265-5318 | 2016-10-19 |
| 1992243935 | David A Sack Md A Professional Medical Corporation | Psychiatry & Neurology | 3743 S Barrington Ave, Los Angeles, CA 90066-3218 | 2017-02-10 |
| 1457899494 | David A Sack Md A Professional Medical Corporation | Psychiatry & Neurology | 20725 Rockcroft Dr, Malibu, CA 90265-5343 | 2017-02-10 |
| Street Address |
2515 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720113418 | Gregory E Skipper | Internal Medicine | 2515 Wilshire Blvd, Santa Monica, CA 90403-4615 | 2007-02-22 |
| 1437609773 | Westside Sober Living Centers, Inc | Substance Abuse Rehabilitation Facility | 2515 Wilshire Blvd, Santa Monica, CA 90403-4615 | 2016-10-11 |
| 1386938082 | Matthew Goldenberg | Psychiatry & Neurology | 2515 Wilshire Blvd, Santa Monica, CA 90403-4615 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891023842 | Evelina Weinstein | Psychiatry & Neurology | 1315 Lincoln Blvd, Suite 250, Santa Monica, CA 90401 | 2009-12-03 |
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| 1184111494 | Lags Spine and Sportscare Medical Centers, Inc. | Psychiatry & Neurology | 1223 Higuera St Ste 101, San Luis Obispo, CA 93401-3167 | 2018-04-23 |
| 1053808899 | Klc Consultants, PC | Psychiatry & Neurology | 1808 Verdugo Blvd Ste 319, Glendale, CA 91208-1486 | 2018-04-17 |
| 1780196733 | Acceptance Detox LLC | Psychiatry & Neurology | 18779 Palm St, Fountain Valley, CA 92708-6428 | 2017-10-31 |
| 1952824021 | Novation Behavioral Health, LLC | Psychiatry & Neurology | 1707 E Bay Ave, Newport Beach, CA 92661-1453 | 2017-07-20 |
| 1912362567 | Sanjoy Sathpathy, M.d. Inc | Psychiatry & Neurology | 9888 Carroll Center Road, 218, San Diego, CA 92126-4515 | 2015-12-28 |
| 1043562630 | San Diego Professional Group, P. C. | Psychiatry & Neurology | 41655 Date St, Suite 101a, Murrieta, CA 92562-7040 | 2012-10-08 |
| 1841591690 | David E. Brody | Psychiatry & Neurology | 13200 South Bloomfield Ave, Norwalk, CA 90650 | 2010-11-10 |
| 1124342647 | Vicki Kalira | Psychiatry & Neurology | 150 Muir Rd Bldg 24, Martinez, CA 94553-4668 | 2010-03-26 |
| 1710127964 | Pacific Composure Psychiatry & Hypnotherapy | Psychiatry & Neurology | 180 7th Ave Ste 103, Santa Cruz, CA 95062-4732 | 2009-02-28 |
| 1235341330 | Timmen Cermak | Psychiatry & Neurology | 239 Miller Avenue, Suite #1, Mill Valley, CA 94941 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION.
| 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.