Bellavita Center for Plastic and Reconstructive Surgery, Corp.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A11134 Issued in CA

Legal business name

BELLAVITA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY, CORP.

Practice address

416 N Bedford Dr Ste 100
Beverly Hills, CA 90210-4308

Phone

(310) 275-1114

Fax

(310) 275-1157

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John Fu-Tsun Hsu, DONPI 1093038135

Title

President

Phone

(310) 275-1114

Specialties & licenses 1

Addresses

Other names 1

• Bellavita Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Fu-Tsun Hsu, DO

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1093038135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1114246907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-275-1114",
            "fax_number": "310-275-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-275-1114",
            "fax_number": "310-275-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAVITA CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FU-TSUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-275-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A11134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellavita Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Beletsky, MD
• Joanne P Belgarde, M.D.
• Moses Aaron Belgrade, DDS
• Ilene Bell, PH.D.
• Bellagio Surgery Center Inc
• Tehilla Solamit Benabou
• Judah Israel Benaim
• Ron Benbassat, MD
• Omid Bendavid, M.D.
• Gregory Bender

• Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.