Individual provider Active NPI

Hooman Meir Melamed, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1447350053
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A85644 Issued in CA
Practice address
9777 Wilshire Blvd Ste 808
Beverly Hills, CA 90212-1908
Phone
(310) 595-5040
Fax
(310) 574-0422
NPI assigned
Sep 24, 2006
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A85644 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 808
Beverly Hills, CA 90212-1908

Mailing address

PO Box 491518
Los Angeles, CA 90049-9518
Phone (310) 595-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A85644CAMDSpecialist
85644CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SM Ortho LLC Current Accepting new patients
Melamed Spine LLC CurrentSince May 20, 2019 Accepting new patients
Diagnostic and Interventional Surgical Center PastSince Oct 1, 2017 Accepting new patients

Locations

9777 Wilshire Blvd
Ste 808
Beverly Hills, CA 90212
Phone (310) 595-5040

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

Organizations & group practices 4

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1447350053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491518",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900499518",
            "telephone_number": "310-595-5040",
            "fax_number": "310-574-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 808",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121908",
            "telephone_number": "310-595-5040",
            "fax_number": "310-574-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELAMED",
        "first_name": "HOOMAN",
        "middle_name": "MEIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A85644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.