Individual provider Active NPI

Tyler Safran, MD, M.SC

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1417636564
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
187908 Issued in CA
Practice address
465 N Roxbury Dr Ste 1001
Beverly Hills, CA 90210-4213
Phone
(310) 777-0496
NPI assigned
Jul 17, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 187908 CA Primary

Addresses

Primary practice location

465 N Roxbury Dr Ste 1001
Beverly Hills, CA 90210-4213

Mailing address

465 N Roxbury Dr Ste 1001
Beverly Hills, CA 90210-4213
Phone (310) 777-8800

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
187908CAMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: tsafran251801@direct-lghealth.org

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1417636564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104213",
            "telephone_number": "310-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104213",
            "telephone_number": "310-777-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRAN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD, M.SC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "187908",
            "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 1, 2023; 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.