Organization Active NPI

Aleph Medical

  • Plastic and Reconstructive Surgery Physician
  • Marina del Rey, CA
National Provider Identifier
1013647627
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ALEPH MEDICAL
Practice address
13273 Fiji Way
#315
Marina del Rey, CA 90292-7093
Phone
(310) 739-8309
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. Anthony A Bertrand, MDNPI 1700220647
Title
Owner/Provider
Phone
(310) 739-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

13273 Fiji Way
#315
Marina del Rey, CA 90292-7093

Mailing address

13273 Fiji Way
Ste 315
Marina del Rey, CA 90292-7093
Phone (310) 739-8309

Other identifiers 1

IdentifierTypeStateIssuer
1700220647MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aabsignup@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1013647627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13273 FIJI WAY",
            "address_2": "STE 315",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927093",
            "telephone_number": "310-739-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13273 FIJI WAY",
            "address_2": "#315",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927093",
            "telephone_number": "310-739-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEPH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "310-739-8309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700220647",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aabsignup@gmail.com",
            "affiliation": "N",
            "address_1": "13273 FIJI WAY",
            "address_2": "STE 315",
            "city": "MARINA DEL REY",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.