Bedford Breast Surgeons

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEDFORD BREAST SURGEONS

Practice address

436 North Bedford Drive
Suite 105
Beverly Hills, CA 90210-4323

Phone

(310) 278-8590

Fax

(424) 202-3759

NPI assigned

Nov 2, 2020

Last updated

Nov 3, 2020By 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

Lisa Cassileth, M.D

Title

President

Phone

(310) 278-8580

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1306447941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 NORTH BEDFORD DRIVE",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104323",
            "telephone_number": "310-278-8590",
            "fax_number": "424-202-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 NORTH BEDFORD DRIVE",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104323",
            "telephone_number": "310-278-8590",
            "fax_number": "424-202-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD BREAST SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "CASSILETH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-278-8580",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beckett, MD, Inc.
• Bedford Ambulatory Surgery Center
• Bedford Anesthesia Inc.
• Bedford Bone Density Center, Inc.
• Bedford Breast Center, Inc
• Bedford Dental Group
• Bedford Hospice
• Bedford Medical Corporation
• Bedford Medical Group, Inc
• Bedford Outpatient Surgery Center

• Multi-Specialty Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.