Individual provider Active NPI

David Meyer Amron, MD

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1184733214
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G72788 Issued in CA
Practice address
120 S Spalding Dr
Beverly Hills, CA 90212-1800
Phone
(310) 275-2467
Fax
(310) 275-6651
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G72788 CA Primary

Addresses

Primary practice location

120 S Spalding Dr
Beverly Hills, CA 90212-1800

Mailing address

120 S Spalding Dr
Beverly Hills, CA 90212-1800
Phone (310) 275-2467

Other identifiers 1

IdentifierTypeStateIssuer
00G727880OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000364 CA Practitioner - Dermatology 4284674870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72788CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roxbury Dermatology and Multispecialty Practice Inc Dermatology CurrentSince Jul 11, 2017 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
David Amron PastSince May 3, 2005 Accepting new patients

Locations

450 N Roxbury Dr
Ste 400
Beverly Hills, CA 90210
Phone (310) 614-5898

450 N Roxbury Dr
Ste 410
Beverly Hills, CA 90210
Phone (844) 544-1617

450 N Roxbury Dr
Ste 450
Beverly Hills, CA 90210
Phone (310) 206-6688

2934 N Beverly Glen Cir
Ste 716
Los Angeles, CA 90077

662 N Sepulveda Blvd
Ste 300
Los Angeles, CA 90049
Phone (909) 574-4686

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184733214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-275-2467",
            "fax_number": "310-275-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-275-2467",
            "fax_number": "310-275-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRON",
        "first_name": "DAVID",
        "middle_name": "MEYER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G72788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G727880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.