Active NPI
Diodinie G Cefre, P.T.
- Specialist
- Beverly Hills, CA
National Provider Identifier
1023312907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT29490
- Practice address
- 309 S Robertson Blvd
Beverly Hills, CA 90211-3602 - Phone
- (310) 652-8404
- Fax
- (310) 652-7470
- NPI assigned
- Jan 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT29490 | CA | Primary |
Addresses
Primary practice location
309 S Robertson Blvd
Beverly Hills, CA 90211-3602
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT29490 | Other | CA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29490 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1023312907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S ROBERTSON BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113602",
"telephone_number": "310-652-8404",
"fax_number": "310-652-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEFRE",
"first_name": "DIODINIE",
"middle_name": "G",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT29490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT29490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Cedars-Sinai Medical Care Foundation
- Cedars-Sinai Medical Care Foundation
- Cedars-Sinai Medical Care Foundation
- Cedars-Sinai Medical Center Foundation
- Cedars-Sinai Medical Foundation
- Center for Accelerated Psychology
- Center for Gi Weight Loss
- Center for Multispecialty Aesthetic & Reconstructive Surgery
- Center for Psychotherapy & Wellness Inc
- Center for Sleep Health and Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.