Active NPI
Peyton P. Berookim, MD Inc
- Gastroenterology Physician
- Beverly Hills, CA
National Provider Identifier
1669618559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A91789
- Legal business name
- PEYTON P. BEROOKIM, MD INC
- Practice address
- 150 N Robertson Blvd
Suite 204
Beverly Hills, CA 90211 - Phone
- (310) 271-1122
- NPI assigned
- Dec 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peyton Berookim, MD
- Title
- President
- Phone
- (310) 271-1122
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A91789 | CA | Primary |
Addresses
Primary practice location
150 N Robertson Blvd
Suite 204
Beverly Hills, CA 90211
Mailing address
PO Box 67672
Los Angeles, CA 90067-0065
Phone (310) 273-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8920 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 360-9119
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Beverly Hills, CA
- NPI 1770773830
Gastroenterology
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Mirage, CA
- NPI 1528263175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1669618559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67672",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900670065",
"telephone_number": "310-273-7365",
"fax_number": "310-273-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N ROBERTSON BLVD",
"address_2": "SUITE 204",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90211",
"telephone_number": "310-271-1122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEYTON P. BEROOKIM, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-23",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "BEROOKIM",
"authorized_official_first_name": "PEYTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-271-1122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A91789",
"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 1, 2016; 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.