NPIMap

Organization Active NPI

Wilshire Anesthesia Physicians Medical Group, Inc.

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1487789442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G63092 Issued in CA
Legal business name
WILSHIRE ANESTHESIA PHYSICIANS MEDICAL GROUP, INC.
Practice address
99 N la Cienega Blvd
#102
Beverly Hills, CA 90211-2222
Phone
(310) 274-1300
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Jr. Tolbert, M.D.
Title
President
Phone
(310) 274-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G63092 CA Primary

Addresses

Primary practice location

99 N la Cienega Blvd
#102
Beverly Hills, CA 90211-2222

Mailing address

PO Box 1430
Monrovia, CA 91017-1430
Phone (626) 256-6010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487789442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910171430",
            "telephone_number": "626-256-6010",
            "fax_number": "626-256-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "#102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-274-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE ANESTHESIA PHYSICIANS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "WILLIAM JR.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "13102741300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G63092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.