Organization Active NPI

Gregg K Nishi M D a California Profession Corporation

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1508165440
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A75418 Issued in CA
Legal business name
GREGG K NISHI M D A CALIFORNIA PROFESSION CORPORATION
Practice address
9033 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211-1837
Phone
(310) 858-1242
NPI assigned
Mar 17, 2011
Last updated
Sep 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Dr. Gregg Nishi, M.D.NPI 1972600344
Title
Owner
Phone
(310) 858-1242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A75418 CA Primary

Addresses

Primary practice location

9033 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211-1837

Mailing address

9033 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-1837
Phone (310) 858-1242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1508165440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-858-1242",
            "fax_number": "310-858-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-858-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG K NISHI M D A CALIFORNIA PROFESSION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "NISHI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-858-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A75418",
            "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 Sep 11, 2015; 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.