Active NPI
Veronica Ratevosian, PA
- Physician Assistant
- Beverly Hills, CA
National Provider Identifier
1376830455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21627
- Practice address
- 9400 Brighton Way Ste 410
Beverly Hills, CA 90210-4711 - Phone
- (319) 256-2426
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA21627 | CA | Primary |
Addresses
Primary practice location
9400 Brighton Way Ste 410
Beverly Hills, CA 90210-4711
Mailing address
9400 Brighton Way
Ste 410
Beverly Hills, CA 90210-4711
Phone (818) 427-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21627 | CA | MD | Occupational Therapist |
| PA21627 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1376830455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY",
"address_2": "STE 410",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104711",
"telephone_number": "818-427-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY STE 410",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104711",
"telephone_number": "319-256-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATEVOSIAN",
"first_name": "VERONICA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21627",
"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 Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.