Organization Active NPI

Beverly Hills Surgical & Medical Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1053719773
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2OA7188 Issued in CA
Legal business name
BEVERLY HILLS SURGICAL & MEDICAL CENTER
Practice address
8500 Wilshire Blvd Ste 1020
Beverly Hills, CA 90211-3108
Phone
(310) 360-0504
NPI assigned
Dec 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Fardad Forouzanpour, DONPI 1477673598
Title
Director
Phone
(310) 360-0504

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
Ambulatory Surgical Clinic/Center 261QA1903X 2OA7188 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd Ste 1020
Beverly Hills, CA 90211-3108

Mailing address

8500 Wilshire Blvd Ste 1020
Beverly Hills, CA 90211-3108
Phone (310) 360-0504

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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1053719773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 1020",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113108",
            "telephone_number": "310-360-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 1020",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113108",
            "telephone_number": "310-360-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SURGICAL & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "FOROUZANPOUR",
        "authorized_official_first_name": "FARDAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-360-0504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "2OA7188",
            "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 24, 2024; 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.