Organization Active NPI

Alon Pnini MD a Prof Corp

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1215261656
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40771 Issued in CA
Legal business name
ALON PNINI MD A PROF CORP
Doing business as
ALON PNINI M.D.
Practice address
450 S Beverly Dr 2ND Floor
Beverly Hills, CA 90212-4415
Phone
(310) 556-1166
Fax
(310) 556-8307
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Alon Pnini, M.D.NPI 1528118122
Title
Medical Doctor
Phone
(310) 556-1166

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A40771 CA Primary

Addresses

Primary practice location

450 S Beverly Dr 2ND Floor
Beverly Hills, CA 90212-4415

Mailing address

450 S Beverly Dr 2ND Floor
Beverly Hills, CA 90212-4415
Phone (310) 556-1166

Other names 1

  • ALON PNINI M.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000330 CA Part B Supplier - Clinic/Group Practice 2264570027 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

450 S Beverly Dr
Fl 2
Beverly Hills, CA 90212
Phone (310) 556-1166

450 S Beverly Dr
Beverly Hills, CA 90212
Phone (310) 556-1166

1125 S Beverly Dr
Ste 525
Los Angeles, CA 90035
Phone (310) 556-1166

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": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1215261656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S BEVERLY DR 2ND FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124415",
            "telephone_number": "310-556-1166",
            "fax_number": "310-556-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S BEVERLY DR 2ND FLOOR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124415",
            "telephone_number": "310-556-1166",
            "fax_number": "310-556-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALON PNINI MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "PNINI",
        "authorized_official_first_name": "ALON",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "310-556-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALON PNINI M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 2015; 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.