Organization Active NPI

Reut Ron Pagi MD Inc

  • Pediatrics Physician
  • Beverly Hills, CA
National Provider Identifier
1487236972
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
REUT RON PAGI MD INC
Practice address
8500 Wilshire Blvd Ste 917
Beverly Hills, CA 90211-3107
Phone
(310) 789-2058
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Dr. Reut Ron Pagi, MDNPI 1043638166
Title
President/Pediatrician
Phone
(310) 789-2058

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Pediatric Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0210X

Addresses

Primary practice location

8500 Wilshire Blvd Ste 917
Beverly Hills, CA 90211-3107

Mailing address

8500 Wilshire Blvd Ste 917
Beverly Hills, CA 90211-3107
Phone (310) 789-2058

Other names 1

  • My 1st Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2235712Reut Ron Pagi MD Inc8500 Wilshire Blvd Ste 917, Beverly Hills, CA 90211Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

8500 Wilshire Blvd
Ste 917
Beverly Hills, CA 90211
Phone (310) 789-2058

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": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1487236972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 917",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113107",
            "telephone_number": "310-789-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 917",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113107",
            "telephone_number": "310-789-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUT RON PAGI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "PAGI",
        "authorized_official_first_name": "REUT",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRICIAN",
        "authorized_official_telephone_number": "310-789-2058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My 1st Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My 1st Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2022; 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.

Verify at the official NPI Registry.