Organization Active NPI

Jonathan Reitman M.D., Inc.

  • Addiction Medicine (Internal Medicine) Physician
  • Beverly Hills, CA
National Provider Identifier
1205096476
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
A66975 Issued in CA
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

Updated by the provider on Apr 28, 2016

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.NPI 1922157320
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)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A6697500OtherCABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000871 CA Part B Supplier - Clinic/Group Practice 0446305445 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Culver City, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.