Organization Active NPI

Boris Gelman MD, Inc.

  • Anesthesiology Physician
  • Long Beach, CA
National Provider Identifier
1083013668
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A95740 Issued in CA
Legal business name
BORIS GELMAN MD, INC.
Practice address
3711 Long Beach Blvd
Suite 905
Long Beach, CA 90807-3315
Phone
(310) 469-5111
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Dr. Boris Gelman, M.D.NPI 1841380524
Title
President
Phone
(310) 469-5111

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A95740 CA Primary

Addresses

Primary practice location

3711 Long Beach Blvd
Suite 905
Long Beach, CA 90807-3315

Mailing address

PO Box 282
Palos Verdes Estates, CA 90274-0282
Phone (310) 469-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140910000237 CA Part B Supplier - Clinic/Group Practice 9032338868 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

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": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1083013668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902740282",
            "telephone_number": "310-469-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 LONG BEACH BLVD",
            "address_2": "SUITE 905",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073315",
            "telephone_number": "310-469-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS GELMAN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-469-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A95740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.