Active NPI
Lance Mixon MD a Professional Corporation
- Anesthesiology Physician
- Beverly Hills, CA
National Provider Identifier
1497405484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LANCE MIXON MD A PROFESSIONAL CORPORATION
- Practice address
- 9301 Wilshire Blvd Ste 401
Beverly Hills, CA 90210-6133 - Phone
- (310) 274-3484
- NPI assigned
- Mar 24, 2022
- 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
- Dr. Lance Mixon, MD
- Title
- Anesthesiologist
- Phone
- (408) 904-9623
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
9301 Wilshire Blvd Ste 401
Beverly Hills, CA 90210-6133
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3153 Hollyridge Dr
Los Angeles, CA 90088
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Torrance, CA
- NPI 1649650250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1497405484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5486",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635486",
"telephone_number": "818-550-0900",
"fax_number": "818-550-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD STE 401",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106133",
"telephone_number": "310-274-3484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCE MIXON MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "MIXON",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "ANESTHESIOLOGIST",
"authorized_official_telephone_number": "408-904-9623",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"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 Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.