Organization Active NPI

Allen B. Yeroushalmi, M.D., P.C.

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1245740711
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALLEN B. YEROUSHALMI, M.D., P.C.
Practice address
9001 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-1841
Phone
(424) 666-1597
Fax
(844) 740-1131
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Dr. Allen Benjamin Yeroushalmi, MDNPI 1952562159
Title
Owner
Phone
(610) 212-6200

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9001 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-1841

Mailing address

20058 Ventura Blvd # 163
Woodland Hills, CA 91364-2637
Phone (424) 666-1597

Other practice location 1

20929 Ventura Blvd Ste 23
Woodland Hills, CA 91364-3352
Phone (424) 666-1597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171128002533 CA Part B Supplier - Clinic/Group Practice 2961769088 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Encino, CA; Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

17283 Ventura Blvd
Encino, CA 91316
Phone (424) 666-1597

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1245740711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20058 VENTURA BLVD # 163",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642637",
            "telephone_number": "424-666-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111841",
            "telephone_number": "424-666-1597",
            "fax_number": "844-740-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20929 Ventura Blvd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913643352",
            "country_code": "US",
            "telephone_number": "424-666-1597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEN B. YEROUSHALMI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "YEROUSHALMI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-212-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Mar 10, 2020; 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.