Organization Active NPI

Reed S Wilson MD a Professional Corp

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
National Provider Identifier
1316037138
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G45920 Issued in CA
Legal business name
REED S WILSON MD A PROFESSIONAL CORP
Practice address
435 N Roxbury Dr
Suite #300
Beverly Hills, CA 90210-5027
Phone
(310) 859-9170
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Dr. Reed Scott Wilson, M.D.
Title
President
Phone
(310) 753-7311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G45920 CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X G45920 CA Primary

Addresses

Primary practice location

435 N Roxbury Dr
Suite #300
Beverly Hills, CA 90210-5027

Mailing address

325 N Maple Dr Unit 10417
Beverly Hills, CA 90213-4919
Phone (310) 753-7311

National Provider Directory

National Provider Directory

Locations

435 N Roxbury Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 273-7430

325 N Maple Dr
Unit 10417
Beverly Hills, CA 90213

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1316037138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAPLE DR UNIT 10417",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902134919",
            "telephone_number": "310-753-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "SUITE #300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-859-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED S WILSON MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-753-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G45920",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G45920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.