Renova Specialty Care PC

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

Legal business name

RENOVA SPECIALTY CARE PC

Practice address

120 S Spalding Dr Ste 300
Beverly Hills, CA 90212-1837

Phone

(615) 499-3165

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Thomas Jokerst

Title

Ao

Phone

(615) 499-3165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hee Jong L Choi, L.AC

  • Physician Assistant
  • Northridge, CA
  • NPI 1124189501
  Medicare reassignment NPD
• Oluwafunmilayo Adekanbi, LPN

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1952678724

  CA

  Medicare reassignment NPD
• Frank Suppa, D.O

  • Family Medicine Physician
  • Far Rockaway, NY
  • NPI 1700199213
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1235027293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121837",
            "telephone_number": "615-499-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA SPECIALTY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "JOKERST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "615-499-3165"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent Medicine (Internal Medicine) Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Adolescent Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.