Individual provider Active NPI

Leif L Rogers, MD

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1649276700
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A86603 Issued in CA
Practice address
9735 Wilshire Blvd
PH
Beverly Hills, CA 90212-2104
Phone
(310) 860-8915
Fax
(310) 860-8916
NPI assigned
Jun 23, 2005
Reactivated
Mar 29, 2006
Last updated
May 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A86603 CA Primary
Specialist 174400000X 228645 NY

Addresses

Primary practice location

9735 Wilshire Blvd
PH
Beverly Hills, CA 90212-2104

Mailing address

9735 Wilshire Blvd
PH
Beverly Hills, CA 90212-2104
Phone (310) 860-8915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000340 CA Practitioner - Plastic and Reconstructive Surgery 1850283334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
228645NYMDSpecialist
86603CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leif L. Rogers, MD,LLC. Specialist CurrentSince Aug 24, 2004 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

9735 Wilshire Blvd
Ph
Beverly Hills, CA 90212
Phone (310) 278-8444

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1649276700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122104",
            "telephone_number": "310-860-8915",
            "fax_number": "310-860-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122104",
            "telephone_number": "310-860-8915",
            "fax_number": "310-860-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LEIF",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2016-05-04",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A86603",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "228645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.