Organization Active NPI

Beverly Hills Pain Institute & Neurology Corporation

  • Pain Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1124301973
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
NP12236 Issued in CA
Legal business name
BEVERLY HILLS PAIN INSTITUTE & NEUROLOGY CORPORATION
Practice address
415 N Crescent Dr Ste 220
Beverly Hills, CA 90210-6810
Phone
(310) 888-2877
Fax
(310) 205-9258
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Gladys Happer, NPA
Title
Owner
Phone
(310) 888-2877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X NP12236 CA Primary

Addresses

Primary practice location

415 N Crescent Dr Ste 220
Beverly Hills, CA 90210-6810

Mailing address

PO Box 12843
Marina del Rey, CA 90295-3843
Phone (310) 888-2877

Other identifiers 1

IdentifierTypeStateIssuer
1912160623OtherCANPI NUMBER

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": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1124301973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12843",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902953843",
            "telephone_number": "310-888-2877",
            "fax_number": "310-205-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106810",
            "telephone_number": "310-888-2877",
            "fax_number": "310-205-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS PAIN INSTITUTE & NEUROLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "HAPPER",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-888-2877",
        "authorized_official_credential": "NPA"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "NP12236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1912160623",
            "state": "CA"
        }
    ],
    "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 27, 2011; 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.