Active NPI
Beverly Hills Wellness and Vitality Inc
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Beverly Hills, CA
National Provider Identifier
1205676012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- BEVERLY HILLS WELLNESS AND VITALITY INC
- Practice address
- 250 N Robertson Blvd Ste 106
Beverly Hills, CA 90211-1767 - Phone
- (310) 275-4084
- Fax
- (818) 643-4255
- NPI assigned
- May 29, 2024
- 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
- Nicole Garrett
- Title
- Manager
- Phone
- (310) 275-4084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
250 N Robertson Blvd Ste 106
Beverly Hills, CA 90211-1767
Mailing address
9663 Santa Monica Blvd # 1151
Beverly Hills, CA 90210-4303
Phone (310) 275-4084
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1205676012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9663 SANTA MONICA BLVD # 1151",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104303",
"telephone_number": "310-275-4084",
"fax_number": "818-643-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N ROBERTSON BLVD STE 106",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111767",
"telephone_number": "310-275-4084",
"fax_number": "818-643-4255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS WELLNESS AND VITALITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-29",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "310-275-4084"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Beverly Hills Ultrasound
- Beverly Hills Ultrasound, LLC
- Beverly Hills Unified School District
- Beverly Hills Vascular Access Center
- Beverly Hills Vision Center Inc
- Beverly Hills Wellness Surgery Center, LLC
- Beverly Radiology Medical Group
- Beverly Radiology Medical Group
- Beverly Radiology Medical Group
- Beverly Surgical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.