Individual provider Active NPI

Eugene G Flaum, M.D.

  • Otolaryngology Physician
  • Beverly Hills, CA
National Provider Identifier
1417971284
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A21554 Issued in CA
Practice address
8670 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2924
Phone
(310) 657-6420
Fax
(310) 659-7681
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A21554 CA Primary

Addresses

Primary practice location

8670 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2924

Mailing address

8670 Wilshire Blvd
Suite 201
Beverly Hills, CA 90211-2924
Phone (310) 657-6420

Other identifiers 1

IdentifierTypeStateIssuer
00A215540MedicaidCA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A21554CAMDOtolaryngology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1417971284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112924",
            "telephone_number": "310-657-6420",
            "fax_number": "310-659-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112924",
            "telephone_number": "310-657-6420",
            "fax_number": "310-659-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAUM",
        "first_name": "EUGENE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A21554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A215540",
            "state": "CA"
        }
    ],
    "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 Sep 19, 2012; 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.