Active NPI
Rox Beverly Hills Surgery Center LLC
- Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ROX BEVERLY HILLS SURGERY CENTER LLC
- Practice address
- 465 N Roxbury Dr Ste 802
Beverly Hills, CA 90210-4211 - Phone
- (310) 777-5400
- NPI assigned
- Jan 2, 2023
- 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. Kevin Brenner, MD
- Title
- President
- Phone
- (310) 777-5400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
465 N Roxbury Dr Ste 802
Beverly Hills, CA 90210-4211
Mailing address
465 N Roxbury Dr Ste 802
Beverly Hills, CA 90210-4211
Phone (310) 777-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230123001826 | CA | Part B Supplier - Ambulatory Surgical Center | 0042681454 | Practice locations: Beverly Hills, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2330426 | Rox Beverly Hills Surgery Center, LLC | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
465 N Roxbury Dr
Ste 802
Beverly Hills, CA 90210
Phone (310) 274-4321
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
- NPI 1982716247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672617600000",
"number": "1457064776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 N ROXBURY DR STE 802",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104211",
"telephone_number": "310-777-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 N ROXBURY DR STE 802",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104211",
"telephone_number": "310-777-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROX BEVERLY HILLS SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A",
"authorized_official_last_name": "BRENNER",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-777-5400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Mark Rothman, MD
- Stephanie Rothney
- James Lee Rounds, PMHNP-BC
- Millicent Overley Rovelo, M.D.
- Mikhail Yakov Rovensky
- Rox Physician Medical Group PC
- Roxbury Anesthesia Group, Inc.
- Roxbury Beverly Hills Surgical Medical Center, Inc
- Roxbury Clinic and Surgery Center Inc
- Roxbury Dermatology and Multispecialty Practice Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.