Active NPI
Ivan Israel Brooks, M.D.
- Phlebology Physician
- Beverly Hills, CA
National Provider Identifier
1689680522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- A65321
- Practice address
- 9400 Brighton Way Ste 205
Beverly Hills, CA 90210-4709 - Phone
- (310) 853-5850
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | A65321 | CA | Primary |
| Anesthesiology Physician | 207L00000X | A65321 | CA |
Addresses
Primary practice location
9400 Brighton Way Ste 205
Beverly Hills, CA 90210-4709
Mailing address
9663 Santa Monica Blvd
PMB 749
Beverly Hills, CA 90210-4303
Phone (310) 853-5850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A653210 | Other | CA | BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9400 Brighton Way
Suite 205
Beverly Hills, CA 90210-4709
Phone (310) 853-5850
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65321 | CA | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BH Vein Institute Inc. | Phlebology | Current | Accepting new patients |
Locations
9400 Brighton Way
Ste 205
Beverly Hills, CA 90210
Phone (310) 853-5850
9663 Santa Monica Blvd
Beverly Hills, CA 90210
Phone (310) 275-8377
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Phlebology Physician
- Beverly Hills, CA
- NPI 1508371600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1689680522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9663 SANTA MONICA BLVD",
"address_2": "PMB 749",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104303",
"telephone_number": "310-853-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 BRIGHTON WAY STE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104709",
"telephone_number": "310-853-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "IVAN",
"middle_name": "ISRAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "CA",
"license": "A65321",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A65321",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A653210",
"state": "CA"
}
],
"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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.