Active NPI
Deepak Dugar MD a Medical Corporation
- Otolaryngology/Facial Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1053778878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 134847
- Legal business name
- DEEPAK DUGAR MD A MEDICAL CORPORATION
- Practice address
- 414 N Camden Dr
Ste 801
Beverly Hills, CA 90210-4532 - Phone
- (310) 276-3106
- NPI assigned
- Jan 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deepak Raj Dugar, M.D.
- Title
- Ceo
- Phone
- (310) 276-3106
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 134847 | CA | |
| Pediatric Otolaryngology Physician | 207YP0228X | 134847 | CA | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 134847 | CA | |
| Facial Plastic Surgery Physician | 207YS0123X | 134847 | CA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 134847 | CA | |
| Otolaryngic Allergy Physician | 207YX0602X | 134847 | CA | |
| Otology & Neurotology Physician | 207YX0901X | 134847 | CA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 134847 | CA | Primary |
Addresses
Primary practice location
414 N Camden Dr
Ste 801
Beverly Hills, CA 90210-4532
Mailing address
458 N Doheny Dr
#69132
West Hollywood, CA 90048-1737
Phone (310) 276-3106
National Provider Directory
National Provider DirectoryLocations
414 N Camden Dr
Ste 801
Beverly Hills, CA 90210
Phone (310) 276-1703
458 N Doheny Dr
#69132
West Hollywood, CA 90048
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Beverly Hills, CA
- NPI 1922327584
-
- Family Nurse Practitioner
- Beverly Hills, CA
- NPI 1821770389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1053778878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 N DOHENY DR",
"address_2": "#69132",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481737",
"telephone_number": "310-276-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N CAMDEN DR",
"address_2": "STE 801",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104532",
"telephone_number": "310-276-3106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEPAK DUGAR MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "DUGAR",
"authorized_official_first_name": "DEEPAK",
"authorized_official_middle_name": "RAJ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-276-3106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Sleep Medicine",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "CA",
"license": "134847",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "134847",
"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 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.