Cancer Institute of America Medical Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CANCER INSTITUTE OF AMERICA MEDICAL CORPORATION

Practice address

416 N Bedford Dr Ste 100
Beverly Hills, CA 90210-4308

Phone

(310) 993-4679

Fax

(424) 324-3880

NPI assigned

Oct 19, 2018

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cristiano Boneti, MDNPI 1265649487

Title

President

Phone

(305) 951-6543

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Cristiano Boneti, MD

  • Surgery Physician
  • Beverly Hills, CA
  • NPI 1265649487
  Medicare reassignment Care Compare group NPD Authorized official
• Galina Grekov, NP

  • Nurse Practitioner
  • West Hollywood, CA
  • NPI 1114693520
  Medicare reassignment Care Compare group NPD
• George Patrick Galano

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1265151120
  Medicare reassignment NPD
• Rohan Harish Kambeyanda, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1578902573

  Multi-Specialty

  Medicare reassignment NPD
• Tiffany Chu, PA-C

  • Physician Assistant
  • Northridge, CA
  • NPI 1275161812
  Medicare reassignment
• Prasanth Patcha, MD, FACS

  • Plastic Surgery Physician
  • New Orleans, LA
  • NPI 1790090264
  NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1265908966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-993-4679",
            "fax_number": "424-324-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104308",
            "telephone_number": "310-993-4679",
            "fax_number": "424-324-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER INSTITUTE OF AMERICA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BONETI",
        "authorized_official_first_name": "CRISTIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-951-6543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRISTIANO BONETI",
            "identifier": "1265649487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camden Surgery Center
• Kim Campbell, M.F.T.
• Sheila Marie Campbell, LAC
• David S Campion, MD
• Adriana Patricia Canas
• Sophie Mestman Cannon, MD
• William Joseph Cannon, D.D.S.
• Cannonorthodontics
• Canon Medical Group Inc
• Canon Surgery Center

• Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.