Active NPI
Beverly Hills Wellness Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1396984936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 83468
- Legal business name
- BEVERLY HILLS WELLNESS SURGERY CENTER, LLC
- Practice address
- 436 N Roxbury Dr Ste 117
Beverly Hills, CA 90210-5016 - Phone
- (310) 385-9623
- NPI assigned
- Feb 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vishal Kapoor, M.D.
- Title
- Medical Director
- Phone
- (310) 385-9623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 83468 | CA | Primary |
Addresses
Primary practice location
436 N Roxbury Dr Ste 117
Beverly Hills, CA 90210-5016
Mailing address
436 N Roxbury Dr Ste 117
Beverly Hills, CA 90210-5016
Phone (310) 385-9623
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1396984936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 N ROXBURY DR STE 117",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105016",
"telephone_number": "310-385-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 N ROXBURY DR STE 117",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105016",
"telephone_number": "310-385-9623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS WELLNESS SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "KAPOOR",
"authorized_official_first_name": "VISHAL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-385-9623",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "83468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Beverly Hills Ultrasound, LLC
- Beverly Hills Unified School District
- Beverly Hills Vascular Access Center
- Beverly Hills Vision Center Inc
- Beverly Hills Wellness and Vitality Inc
- Beverly Radiology Medical Group
- Beverly Radiology Medical Group
- Beverly Radiology Medical Group
- Beverly Surgical Center
- Beverly Surgicenter, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.