Organization Active NPI

Richard S Horowitz, MD a Medical Corporation

  • Nephrology Physician
  • Beverly Hills, CA
National Provider Identifier
1548331606
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A43197 Issued in CA
Legal business name
RICHARD S HOROWITZ, MD A MEDICAL CORPORATION
Practice address
462 N Linden Dr
Suite 434
Beverly Hills, CA 90212-2247
Phone
(310) 358-7200
Fax
(310) 358-7211
NPI assigned
Nov 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Richard Srularon Horowitz, M.D.NPI 1437366804
Title
President
Phone
(310) 358-7200

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A43197 CA Primary

Addresses

Primary practice location

462 N Linden Dr
Suite 434
Beverly Hills, CA 90212-2247

Mailing address

462 N Linden Dr
Suite 434
Beverly Hills, CA 90212-2247
Phone (310) 358-7200

Other identifiers 1

IdentifierTypeStateIssuer
00A43197MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229000592 CA Part B Supplier - Clinic/Group Practice 5294923660 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0949007Richard S Horowitz MD a Medical Corp462 N Linden Dr Ste 434, Beverly Hills, CA 90212Provider-performed microscopyMar 22, 2027

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": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1548331606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR",
            "address_2": "SUITE 434",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122247",
            "telephone_number": "310-358-7200",
            "fax_number": "310-358-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR",
            "address_2": "SUITE 434",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122247",
            "telephone_number": "310-358-7200",
            "fax_number": "310-358-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S HOROWITZ, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SRULARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-358-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A43197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A43197",
            "state": "CA"
        }
    ],
    "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 Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.