Organization Active NPI

Ophthalmic Facial Plastic Surgery Institute, a Medical Corporation

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1336228691
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
WG62027I Issued in CA
Legal business name
OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE, A MEDICAL CORPORATION
Practice address
9735 Wilshire Blvd.
Suite 319
Beverly Hills, CA 90212-2111
Phone
(310) 276-0044
Fax
(310) 271-7003
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Sam Goldberger, M.D.
Title
President
Phone
(310) 276-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X WG62027I CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd.
Suite 319
Beverly Hills, CA 90212-2111

Mailing address

9735 Wilshire Blvd.
Suite 319
Beverly Hills, CA 90212-2111
Phone (310) 276-0044

National Provider Directory

National Provider Directory

Locations

120 S Spalding Dr
Ste 331
Beverly Hills, CA 90212
Phone (310) 276-0044

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1336228691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD.",
            "address_2": "SUITE 319",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-276-0044",
            "fax_number": "310-271-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD.",
            "address_2": "SUITE 319",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-276-0044",
            "fax_number": "310-271-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERGER",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-276-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "WG62027I",
            "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 Nov 16, 2009; 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.