Individual provider Active NPI

Rebecca Elyasi

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1386539682
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05250118 Issued in CA
Practice address
305 N Elm Dr
Beverly Hills, CA 90210-4915
Phone
(760) 881-0810
NPI assigned
Jun 9, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05250118 CA Primary

Addresses

Primary practice location

305 N Elm Dr
Beverly Hills, CA 90210-4915

Mailing address

305 N Elm Dr
Beverly Hills, CA 90210-4915
Phone (760) 881-0810

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F05250118CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1386539682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N ELM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104915",
            "telephone_number": "760-881-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N ELM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104915",
            "telephone_number": "760-881-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYASI",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F05250118",
            "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 Jun 9, 2025; 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.