Individual provider Active NPI

Julia Sverdlova, M.D.

  • Primary Care Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1205933058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A063261 Issued in CA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706001306 CA Order and Referring Only - Family PracticePractitioner - Family Practice 6406148865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A063261CAMDPrimary 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

Verify at the official NPI Registry.