Organization Active NPI

Peyton P. Berookim, MD Inc

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1669618559
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A91789 Issued in CA
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

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Peyton Berookim, MDNPI 1770773830
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20091118000547 CA Part B Supplier - Clinic/Group Practice 6901944529 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.