Organization Active NPI

Mahesh S Desilva MD a Medical Corporation

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1629441878
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A104079 Issued in CA
Legal business name
MAHESH S DESILVA MD A MEDICAL CORPORATION
Practice address
9090 Burton Way
Beverly Hills, CA 90211-1661
Phone
(310) 278-0077
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Mahesh S Desilva, MD
Title
President/Sole Owner
Phone
(909) 260-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A104079 CA Primary

Addresses

Primary practice location

9090 Burton Way
Beverly Hills, CA 90211-1661

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1629441878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 BURTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111661",
            "telephone_number": "310-278-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH S DESILVA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/SOLE OWNER",
        "authorized_official_telephone_number": "909-260-1355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A104079",
            "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 Nov 10, 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.