Organization Active NPI

Emana Medical

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1528537834
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EMANA MEDICAL
Practice address
435 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4348
Phone
(310) 878-4321
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Dr. Emana Adballah, DO
Title
Owner
Phone
(310) 878-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

435 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4348

Mailing address

435 N Bedford Dr Ste 305
Beverly Hills, CA 90210-4348
Phone (310) 878-4321

Other identifiers 1

IdentifierTypeStateIssuer
1528321957OtherCAINDIVIDUAL NPI

Other names 1

  • Emana Medical Former legal business name

National Provider Directory

National Provider Directory

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": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1528537834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104348",
            "telephone_number": "310-878-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104348",
            "telephone_number": "310-878-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "ADBALLAH",
        "authorized_official_first_name": "EMANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-878-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528321957",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emana Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 24, 2019; 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.