Organization Active NPI

David J. Soomekh DPM, a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1699101097
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DAVID J. SOOMEKH DPM, A PROFESSIONAL CORPORATION
Practice address
450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4231
Phone
(310) 651-2366
Fax
(310) 651-2360
NPI assigned
Sep 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
David J Soomekh, D.P.M.NPI 1831108679
Title
Owner
Phone
(310) 651-2366

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X CA Primary

Addresses

Primary practice location

450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4231

Mailing address

450 N Roxbury Dr
Suite 200
Beverly Hills, CA 90210-4231
Phone (310) 651-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131206000046 CA Part B Supplier - Clinic/Group Practice 7315174976 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA
O20150328000341 CA DME Supplier - Physician - Podiatry 7315174976 Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

450 N Roxbury Dr
Ste 200
Beverly Hills, CA 90210
Phone (310) 651-2366

Practitioners & affiliated clinicians

Practitioners 1

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": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1699101097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104231",
            "telephone_number": "310-651-2366",
            "fax_number": "310-651-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104231",
            "telephone_number": "310-651-2366",
            "fax_number": "310-651-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. SOOMEKH DPM, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "SOOMEKH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-651-2366",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": null,
            "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 Mar 6, 2015; 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.