Organization Active NPI

Randal Haworth M.D. F.a.C.S.

  • Ph.D. Medical Genetics
  • Beverly Hills, CA
National Provider Identifier
1265553531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
RANDAL HAWORTH M.D. F.A.C.S.
Practice address
436 N Bedford Drive
Suite 105
Beverly Hills, CA 90210-9021
Phone
(310) 273-3000
Fax
(310) 279-8802
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randal Haworth M.D., M.D. F.A.C.S
Title
Owner
Phone
(310) 273-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

436 N Bedford Drive
Suite 105
Beverly Hills, CA 90210-9021

Mailing address

436 N Bedford Drive
Suite 105
Beverly Hills, CA 90210
Phone (310) 273-3000

National Provider Directory

National Provider Directory
Tax ID family
Beverly Hills Surgical Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265553531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DRIVE",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-273-3000",
            "fax_number": "310-273-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DRIVE",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902109021",
            "telephone_number": "310-273-3000",
            "fax_number": "310-279-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL HAWORTH M.D. F.A.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWORTH M.D.",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-273-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. F.A.C.S"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.