Active NPI
Jonathan Reitman M.D., Inc.
- Addiction Medicine (Internal Medicine) Physician
- Beverly Hills, CA
National Provider Identifier
1205096476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- A66975
- Legal business name
- JONATHAN REITMAN M.D., INC.
- Practice address
- 8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3227 - Phone
- (310) 360-7690
- Fax
- (310) 360-7694
- NPI assigned
- Jun 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan E Reitman, M.D.
- Title
- Ceo
- Phone
- (310) 360-7690
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | A66975 | CA | Primary |
Addresses
Primary practice location
8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3227
Mailing address
8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3227
Phone (310) 360-7690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A6697500 | Other | CA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8484 Wilshire Blvd
Ste 470
Beverly Hills, CA 90211
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Beverly Hills, CA
- NPI 1922157320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1205096476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8484 WILSHIRE BLVD",
"address_2": "SUITE 200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113227",
"telephone_number": "310-360-7690",
"fax_number": "310-360-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8484 WILSHIRE BLVD",
"address_2": "SUITE 200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113227",
"telephone_number": "310-360-7690",
"fax_number": "310-360-7694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN REITMAN M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-11",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "REITMAN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-360-7690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CA",
"license": "A66975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00A6697500",
"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 Apr 28, 2016; 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.