Organization Active NPI

Wilshire Crescent Heights Medical Center a Professional Corporation

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1144548728
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A410290 Issued in CA
Legal business name
WILSHIRE CRESCENT HEIGHTS MEDICAL CENTER A PROFESSIONAL CORPORATION
Practice address
8500 Wilshire Blvd
Suite 625
Beverly Hills, CA 90211-3121
Phone
(310) 360-9785
Fax
(310) 360-0312
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Malihe Dardashti, M.D.NPI 1316038169
Title
Physician
Phone
(310) 360-9785

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
Urgent Care Clinic/Center 261QU0200X A410290 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd
Suite 625
Beverly Hills, CA 90211-3121

Mailing address

2530 S San Pedro St
Los Angeles, CA 90011-1520
Phone (213) 748-0449

Other identifiers 1

IdentifierTypeStateIssuer
00A410920MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Wilshire Crescent Heights Medical Center a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2530 S San Pedro St
Los Angeles, CA 90011
Phone (213) 748-0449

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": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1144548728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111520",
            "telephone_number": "213-748-0449",
            "fax_number": "213-748-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "SUITE 625",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-360-9785",
            "fax_number": "310-360-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE CRESCENT HEIGHTS MEDICAL CENTER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "DARDASHTI",
        "authorized_official_first_name": "MALIHE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-360-9785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A410290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410920",
            "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 Jul 19, 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.