Individual provider Active NPI

Steven Waltrip, M.D.,

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Beverly Hills, CA
National Provider Identifier
1467423046
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
A70446 Issued in CA
Practice address
120 S Spalding Dr
Ste# 400
Beverly Hills, CA 90212-1842
Phone
(310) 860-3434
NPI assigned
Jan 31, 2006
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X A70446 CA Primary

Addresses

Primary practice location

120 S Spalding Dr
Ste# 400
Beverly Hills, CA 90212-1842

Mailing address

120 S Spalding Dr
Ste# 400
Beverly Hills, CA 90212-1842
Phone (310) 860-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000868 CA Practitioner - Orthopedic Surgery 8123919404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 S Spalding Dr
Suite 400
Beverly Hills, CA 90212-1842
Phone (310) 860-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Oaks Medical Group & Subsidiary CurrentSince Mar 29, 2009 Accepting new patients
Pacific Oaks Medical Group & Subsidiary CurrentSince Mar 29, 2009 Accepting new patients
Steven J Waltrip MD Inc CurrentSince Jan 1, 2004 Accepting new patients

Locations

120 S Spalding Dr
Ste 400
Beverly Hills, CA 90212
Phone (310) 860-3434

150 N Robertson Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 652-2562

465 N Roxbury Dr
Ste 750
Beverly Hills, CA 90210
Phone (310) 288-0641

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1467423046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "STE# 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121842",
            "telephone_number": "310-860-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "STE# 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121842",
            "telephone_number": "310-860-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTRIP",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A70446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.