Active NPI
Beverly Hills Medical Center
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 19917
- Legal business name
- BEVERLY HILLS MEDICAL CENTER
- Practice address
- 414 N Camden Dr
Suite 101
Beverly Hills, CA 90210-4532 - Phone
- (310) 888-8818
- NPI assigned
- Apr 26, 2017
- 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
- Brian H Novack, M.D.
- Title
- President
- Phone
- (310) 888-8818
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 19917 | CA | Primary |
Addresses
Primary practice location
414 N Camden Dr
Suite 101
Beverly Hills, CA 90210-4532
Mailing address
414 N Camden Dr
Suite 101
Beverly Hills, CA 90210-4532
Phone (310) 888-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19917 | Other | CA | AAAHC |
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 |
|---|---|---|---|
| 05D1072896 | Beverly Hills Medical Center | Certificate of waiver | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
414 N Camden Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 888-8818
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 Surgery Physician
- Beverly Hills, CA
- NPI 1235262999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493164800000",
"number": "1477088540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N CAMDEN DR",
"address_2": "SUITE 101",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104532",
"telephone_number": "310-888-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N CAMDEN DR",
"address_2": "SUITE 101",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104532",
"telephone_number": "310-888-8818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY HILLS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-26",
"last_updated": "2017-04-26",
"status": "A",
"authorized_official_last_name": "NOVACK",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-888-8818",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "19917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAAHC",
"identifier": "19917",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Beverly Hills Lasky Clinic Surgery Center
- Beverly Hills Lasky Surgery Center
- Beverly Hills Lasky Surgicenter
- Beverly Hills Magnetic Imaging
- Beverly Hills Marriage and Family Therapy Center, Inc.
- Beverly Hills Medical Center for Cosmetic Surgery Inc
- Beverly Hills Medical Imaging
- Beverly Hills Medical Suite Inc
- Beverly Hills Migraine and Pain Management Institute, Inc
- Beverly Hills Multispecialty Surgical Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.