Organization Active NPI

Mehmet C Pekerol MD a Professional Corporation

  • Infectious Disease Physician
  • West Hollywood, CA
National Provider Identifier
1295730604
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A51117 Issued in CA
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

Updated by the provider on Oct 9, 2019

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.NPI 1619167087
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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A511170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000449 CA Part B Supplier - Clinic/Group Practice 9830274646 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.