Active NPI
Mehmet C Pekerol MD a Professional Corporation
- Infectious Disease Physician
- West Hollywood, CA
National Provider Identifier
1295730604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A51117
- Legal business name
- MEHMET C PEKEROL MD A PROFESSIONAL CORPORATION
- Practice address
- 9201 W Sunset Blvd
Ste 616
West Hollywood, CA 90069-3701 - Phone
- (310) 858-0880
- Fax
- (310) 858-0885
- NPI assigned
- Jun 14, 2005
- 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. Mehmet C Pekerol, M.D.
- Title
- Medical Director
- Phone
- (310) 858-0880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A51117 | CA | Primary |
Addresses
Primary practice location
9201 W Sunset Blvd
Ste 616
West Hollywood, CA 90069-3701
Mailing address
9201 W Sunset Blvd
Ste 616
West Hollywood, CA 90069-3701
Phone (310) 858-0880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A511170 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9201 W Sunset Blvd
Ste 616
West Hollywood, CA 90069
Phone (310) 858-0880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- West Hollywood, CA
- NPI 1619167087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570579200000",
"number": "1295730604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD",
"address_2": "STE 616",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693701",
"telephone_number": "310-858-0880",
"fax_number": "310-858-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD",
"address_2": "STE 616",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693701",
"telephone_number": "310-858-0880",
"fax_number": "310-858-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHMET C PEKEROL MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2019-10-09",
"status": "A",
"authorized_official_last_name": "PEKEROL",
"authorized_official_first_name": "MEHMET",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-858-0880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A51117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A511170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.