Organization Active NPI

Brighton Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1053593756
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BRIGHTON MEDICAL CORPORATION
Practice address
9400 Brighton Way Suite 401
Beverly Hills, CA 90210
Phone
(310) 276-9071
Fax
(310) 276-9074
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Shawn Nasseri, M.D.
Title
Ceo/President
Phone
(310) 729-3116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

9400 Brighton Way Suite 401
Beverly Hills, CA 90210

Mailing address

9663 Santa Monica Blvd Suite 644
Beverly Hills, CA 90210-4303
Phone (310) 276-9071

National Provider Directory

National Provider Directory

Locations

9400 Brighton Way
Ste 401
Beverly Hills, CA 90210
Phone (310) 276-9071

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1053593756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD SUITE 644",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-276-9071",
            "fax_number": "310-289-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY SUITE 401",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-276-9071",
            "fax_number": "310-276-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "NASSERI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-729-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "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 Sep 18, 2012; 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.