Organization Active NPI

Arash Bereliani, M.D., a Medical Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1568419075
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A066268 Issued in CA
Legal business name
ARASH BERELIANI, M.D., A MEDICAL CORPORATION
Practice address
10701 Wilshire Blvd
Los Angeles, CA 90024-4401
Phone
(310) 234-0105
Fax
(310) 234-0105
NPI assigned
May 28, 2006
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Arash Bereliani, M.D.NPI 1699722165
Title
President
Phone
(310) 234-0105

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
Cardiovascular Disease Physician 207RC0000X A066268 CA Primary

Addresses

Primary practice location

10701 Wilshire Blvd
Los Angeles, CA 90024-4401

Mailing address

10701 Wilshire Blvd
Los Angeles, CA 90024-4445
Phone (310) 234-0105

Other identifiers 1

IdentifierTypeStateIssuer
00A662680MedicaidCA

Other names 1

  • Arash Bereliani Medical Corporation Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000371 CA Part B Supplier - Clinic/Group Practice 0345247771 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory
Tax ID family
Arash Bereliani MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1568419075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244445",
            "telephone_number": "310-234-0105",
            "fax_number": "310-234-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244401",
            "telephone_number": "310-234-0105",
            "fax_number": "310-234-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARASH BERELIANI, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BERELIANI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-234-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A066268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A662680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arash Bereliani Medical Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.

Verify at the official NPI Registry.