Organization Active NPI

Rodney Bluestone Medical Corporation

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1447254974
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RODNEY BLUESTONE MEDICAL CORPORATION
Practice address
436 N Bedford Dr
Ste 303
Beverly Hills, CA 90210-4320
Phone
(310) 657-2222
Fax
(310) 550-0367
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Hanan Botros
Title
Office Administrator
Phone
(310) 657-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

436 N Bedford Dr
Ste 303
Beverly Hills, CA 90210-4320

Mailing address

436 N Bedford Dr
Ste 303
Beverly Hills, CA 90210-4320
Phone (310) 657-2222

National Provider Directory

National Provider Directory

Locations

436 N Bedford Dr
Ste 303
Beverly Hills, CA 90210
Phone (310) 657-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1447254974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104320",
            "telephone_number": "310-657-2222",
            "fax_number": "310-550-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "STE 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104320",
            "telephone_number": "310-657-2222",
            "fax_number": "310-550-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY BLUESTONE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "HANAN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-657-2222"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Oct 15, 2008; 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.