Active NPI
Julia Sverdlova, M.D.
- Primary Care Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1205933058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A063261
- Practice address
- 8920 Wilshire Blvd Ste 414
Beverly Hills, CA 90211-2004 - Phone
- (310) 289-1215
- Fax
- (310) 285-9762
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A063261 | CA | Primary |
Addresses
Primary practice location
8920 Wilshire Blvd Ste 414
Beverly Hills, CA 90211-2004
Mailing address
1411 Tower Grove Dr
Beverly Hills, CA 90210-2139
Phone (310) 654-0900
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160706001306 | CA | Order and Referring Only - Family Practice | 6406148865 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A063261 | CA | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205933058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 TOWER GROVE DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902102139",
"telephone_number": "310-654-0900",
"fax_number": "310-285-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8920 WILSHIRE BLVD STE 414",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112004",
"telephone_number": "310-289-1215",
"fax_number": "310-285-9762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVERDLOVA",
"first_name": "JULIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A063261",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.