Active NPI
Beverly Hills Penthouse Surgery Center
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1205100427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A74133
- Legal business name
- BEVERLY HILLS PENTHOUSE SURGERY CENTER
- Practice address
- 8929 Wilshire Blvd
Penthouse Suite
Beverly Hills, CA 90211-1938 - Phone
- (310) 273-5100
- Fax
- (310) 273-5101
- NPI assigned
- Mar 6, 2012
- 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. Jeffrey David Hoefflin, MD
- Title
- Ceo/Owner
- Phone
- (310) 273-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A74133 | CA | Primary |
Addresses
Primary practice location
8929 Wilshire Blvd
Penthouse Suite
Beverly Hills, CA 90211-1938
Mailing address
8929 Wilshire Blvd
Penthouse Suite
Beverly Hills, CA 90211-1938
Phone (310) 273-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Ambulatory surgical center certification: CCN 05C0002028
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- BEVERLY HILLS PENTHOUSE SURGERY CENTER, INC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Sep 11, 2013
- Last certification
- Sep 16, 2019
- Ownership / control type
- Proprietary
- Facility address
- 8929 Wilshire Boulevard, Penthouse Suite
Beverly Hills, CA 90211
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330992000000",
"number": "1205100427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8929 WILSHIRE BLVD",
"address_2": "PENTHOUSE SUITE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111938",
"telephone_number": "310-273-5100",
"fax_number": "310-273-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 WILSHIRE BLVD",
"address_2": "PENTHOUSE SUITE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111938",
"telephone_number": "310-273-5100",
"fax_number": "310-273-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS PENTHOUSE SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A",
"authorized_official_last_name": "HOEFFLIN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "310-273-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "A74133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Beverly Hills Pain Institute & Neurology Corporation
- Beverly Hills Pediatric Dental Care, Inc
- Beverly Hills Pediatric Surgery
- Beverly Hills Pediatrics
- Beverly Hills Penthouse Anesthesia Services, Inc
- Beverly Hills Physical Medicine and Internal Medicine
- Beverly Hills Physical Medicine and Rehabilitation Center
- Beverly Hills Plastic Surgery Group Inc
- Beverly Hills Plastic Surgery, Inc.
- Beverly Hills Podiatry, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.