Active NPI
Randal Haworth M.D. F.a.C.S.
- Ph.D. Medical Genetics
- Beverly Hills, CA
National Provider Identifier
1265553531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1508199506
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.