Individual provider Active NPI

Timothy Scott Neavin, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1285899948
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A99678 Issued in CA
Practice address
9615 Brighton Way
Suite 303
Beverly Hills, CA 90210-5131
Phone
(310) 858-8811
Fax
(310) 858-8282
NPI assigned
Jul 22, 2008
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A99678 CA Primary

Addresses

Primary practice location

9615 Brighton Way
Suite 303
Beverly Hills, CA 90210-5131

Mailing address

9615 Brighton Way
Suite 303
Beverly Hills, CA 90210-5131
Phone (310) 858-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000589 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 1658437348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Maxillofacial Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

421 N Rodeo Dr
Suite a 1
Beverly Hills, CA 90210-4500
Phone (310) 858-8811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue122
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99678CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgi Art Plastic Surgery Current Accepting new patients
Flash Medical, P.C. CurrentSince Nov 13, 2022 Accepting new patients
Surgi Art Inc Plastic Surgery CurrentSince Dec 1, 2008 Accepting new patients
Howard Gross MD Inc Apc Past Accepting new patients

Locations

421 N Rodeo Dr
Ste A1
Beverly Hills, CA 90210
Phone (310) 858-8811

9615 Brighton Way
Ste 303
Beverly Hills, CA 90210
Phone (310) 256-1547

1722 State St
Ste 201
Santa Barbara, CA 93101
Phone (805) 898-2600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1285899948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 BRIGHTON WAY",
            "address_2": "SUITE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105131",
            "telephone_number": "310-858-8811",
            "fax_number": "310-858-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 BRIGHTON WAY",
            "address_2": "SUITE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105131",
            "telephone_number": "310-858-8811",
            "fax_number": "310-858-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAVIN",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A99678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.