DR. DOUGLAS L VANDERBILT II MD
NPI 1457340291
Pediatrics - Developmental - Behavioral Pediatrics in Los Angeles, CA

Q: What is Douglas Vanderbilt's NPI number?

The NPI number for Douglas Vanderbilt is 1457340291. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Douglas Vanderbilt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since October 14, 2005PECOS Enrolled

4650 W SUNSET BLVD, MS#76, LOS ANGELES, CA 90027(617) 414-5170(323) 361-8566 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Douglas L Vanderbilt Ii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS L VANDERBILT II MD (NPI 1457340291) is an individual developmental - behavioral pediatrics provider in Los Angeles, California, licensed in California (A75123) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457340291

Entity TypeIndividualMale

Primary Taxonomy2080P0006X

Provider Legal NameDR. DOUGLAS L VANDERBILT IICredential: MD

Location Address4650 W SUNSET BLVD, MS#76Los Angeles, CA 90027-6062

Mailing Address6430 W Sunset Blvd, Suite 600Los Angeles, CA 90028-7900 · (323) 361-2337 · Fax (323) 361-8491

Phone(617) 414-5170

Fax(323) 361-8566

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateJuly 24, 2009

✔ NPI 1457340291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in CA · A75123✔ Licensed in MA · 213549

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

4650 W SUNSET BLVD, Los Angeles, CA 90027

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Other Identifiers 3

Medicare ID-Type UnspecifiedA34592

Medicare UPINH68688

Medicaid0179540MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas L Vanderbilt Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVAN Z. CRAIG D.O.

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-7314

SONIA K MICHAIL MD

Pediatrics (Pediatric Gastroenterology)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-5924

MS. KATHLEEN JUNE ANULAO MSN FNP

Nurse Practitioner (Family)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 671-7680

DR. JAY DESAI MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2450

DR. RICHARD H. KO M.D.

Pediatrics

4650 W SUNSET BLVD, MAILSTOP #54
LOS ANGELES, CA 90027

Los Angeles County (323) 361-6497

DR. ALAN BENEDICT LEWIS M.D.

Pediatrics (Pediatric Cardiology)

4650 W SUNSET BLVD, CHILDREN'S HOSPITAL LOS ANGELES, MS#34
LOS ANGELES, CA 90027

Los Angeles County (323) 361-4637

ELIZABETH JOAN MARRA M.P.T.

Physical Therapist

4650 W SUNSET BLVD, OUTPATIENT REHABILITATION SERVICES - 6 NORTH
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2118

DR. AARON R JENSEN MD

Surgery (Surgical Critical Care)

4650 W SUNSET BLVD, MAILSTOP 100
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Vanderbilt's NPI number?

The NPI number for Douglas Vanderbilt is 1457340291. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Douglas Vanderbilt located?

Douglas Vanderbilt practices at 4650 W Sunset Blvd Ms#76, Los Angeles, CA 90027. The listed phone number is (617) 414-5170.

What is Douglas Vanderbilt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Douglas Vanderbilt enrolled in Medicare?

Yes. Douglas Vanderbilt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Vanderbilt was last updated on July 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.