Active NPI
Robert Dorfman, MD
- Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1013308774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A180897
- Practice address
- 9454 Wilshire Blvd Ste 803
Beverly Hills, CA 90212-2904 - Phone
- (312) 420-2575
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A180897 | CA | Primary |
Addresses
Primary practice location
9454 Wilshire Blvd Ste 803
Beverly Hills, CA 90212-2904
Mailing address
9454 Wilshire Blvd Ste 803
Beverly Hills, CA 90212-2904
Phone (312) 420-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180897 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1013308774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9454 WILSHIRE BLVD STE 803",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122904",
"telephone_number": "312-420-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9454 WILSHIRE BLVD STE 803",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122904",
"telephone_number": "312-420-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A180897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.