Organization Active NPI

Dennis Evangelatos,M.D.,Inc.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1487870671
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G50929 Issued in CA
Legal business name
DENNIS EVANGELATOS,M.D.,INC.
Practice address
150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121
Phone
(310) 855-0303
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Dennis Evangelatos, MD
Title
President
Phone
(310) 855-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G50929 CA Primary

Addresses

Primary practice location

150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121

Mailing address

150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121
Phone (310) 855-0303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1487870671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112121",
            "telephone_number": "310-855-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112121",
            "telephone_number": "310-855-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS EVANGELATOS,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "EVANGELATOS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-855-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50929",
            "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 Jun 5, 2013; 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.