Active NPI
Myron Samovitz, MD
- Dermatology Physician
- Beverly Hills, CA
National Provider Identifier
1255365938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- C26830
- Practice address
- 416 N Bedford Dr
206
Beverly Hills, CA 90210-4322 - Phone
- (310) 278-5025
- Fax
- (310) 278-1558
- NPI assigned
- Jul 10, 2006
- Reactivated
- Feb 4, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | C26830 | CA | Primary |
Addresses
Primary practice location
416 N Bedford Dr
206
Beverly Hills, CA 90210-4322
Mailing address
416 N Bedford Dr
206
Beverly Hills, CA 90210-4322
Phone (310) 278-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C26830 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1255365938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR",
"address_2": "206",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104322",
"telephone_number": "310-278-5025",
"fax_number": "310-278-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR",
"address_2": "206",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104322",
"telephone_number": "310-278-5025",
"fax_number": "310-278-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOVITZ",
"first_name": "MYRON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2019-02-04",
"deactivation_date": "2018-10-29",
"reactivation_date": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "C26830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Sam S Markzar DDS Inc
- Samadian Dental Care Inc.
- Saman Setareh Shenas MD Inc a Professional Medical Corporation
- Samantha Gerson Therapy
- Samer Alnajjar, M.D., Inc.
- Svetlana Samples, MFTI
- Samuel a. Seelig M.D. a Professional Corporation
- Samuel Golpanian Plastic Surgery
- Samuel J. Smith,M.D,Inc
- Bruce A Samuels, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.