Organization Active NPI

Beverly Hills Allergy

  • Allergy & Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1609279306
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A108924 Issued in CA
Legal business name
BEVERLY HILLS ALLERGY
Practice address
6310 San Vicente Blvd
220
Los Angeles, CA 90048-5426
Phone
(310) 499-8116
Fax
(310) 388-5898
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Sherwin Ramon Hariri, M.D.NPI 1699955179
Title
President/Ceo/MD
Phone
(310) 499-8116

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X A108924 CA Primary

Addresses

Primary practice location

6310 San Vicente Blvd
220
Los Angeles, CA 90048-5426

Mailing address

6310 San Vicente Blvd
220
Los Angeles, CA 90048-5426
Phone (310) 499-8116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150428001355 CA Part B Supplier - Clinic/Group Practice 3072832930 Receives reassigned benefits from 3 practitioners
Practice locations: Beverly Hills, CA; Glendale, CA

National Provider Directory

National Provider Directory

Locations

435 N Bedford Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 855-9909

435 Arden Ave
Ste 301
Glendale, CA 91203

Practitioners & affiliated clinicians

Practitioners 3

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": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1609279306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD",
            "address_2": "220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "310-499-8116",
            "fax_number": "310-388-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD",
            "address_2": "220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "310-499-8116",
            "fax_number": "310-388-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "HARIRI",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT/CEO/MD",
        "authorized_official_telephone_number": "310-499-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A108924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 10, 2015; 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.