Active NPI
Medical Group of Beverly Hills
- Internal Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1255534459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL GROUP OF BEVERLY HILLS
- Practice address
- 99 N la Cienega Blvd
Beverly Hills, CA 90211-2222 - Phone
- (310) 967-1884
- Fax
- (310) 967-1744
- NPI assigned
- Jun 6, 2007
- Organization subpart
- Yes
- Parent organization
- MEDICAL GROUP OF BEVERLY HILLS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Gordon
- Title
- Ceo
- Phone
- (310) 967-1884
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X |
Addresses
Primary practice location
99 N la Cienega Blvd
Beverly Hills, CA 90211-2222
Mailing address
PO Box 54679
Los Angeles, CA 90054-0679
Phone (310) 967-1884
Other names 1
- CEDARS SINAI MEDICAL GROUP
National Provider Directory
National Provider Directory- Tax ID family
- Medical Group of Beverl
- Part of
- Medical Group of Beverl
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endocrinology, Diabetes & Metabolism Physician
- Los Angeles, CA
- NPI 1376740860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1255534459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54679",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540679",
"telephone_number": "310-967-1884",
"fax_number": "310-967-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112222",
"telephone_number": "310-967-1884",
"fax_number": "310-967-1744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL GROUP OF BEVERLY HILLS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL GROUP OF BEVERLY HILLS",
"enumeration_date": "2007-06-06",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-967-1884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CEDARS SINAI MEDICAL GROUP",
"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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.