Organization Active NPI

Moses J. Fallas, M.D. a Medical Corporation

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1154542538
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MOSES J. FALLAS, M.D. A MEDICAL CORPORATION
Practice address
9001 Wilshire Blvd Ste 304
Beverly Hills, CA 90211-1840
Phone
(310) 855-1023
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Pam Calderon
Title
Billing Manager
Phone
(310) 356-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd Ste 304
Beverly Hills, CA 90211-1840

Mailing address

9001 Wilshire Blvd Ste 304
Beverly Hills, CA 90211-1840
Phone (310) 855-1023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817001297 CA Part B Supplier - Clinic/Group Practice 6608900337 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, 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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1154542538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-855-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-855-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES J. FALLAS, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-356-8303"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "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 Aug 13, 2010; 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.