NPIMap

Individual provider Active NPI

Sean Rim, M.D.

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1720251184
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A123588 Issued in CA
Practice address
435 N Roxbury Dr
Ste 100
Beverly Hills, CA 90210-5027
Phone
(917) 468-6893
NPI assigned
Apr 8, 2008
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 257737 NY
Surgery Physician 208600000X A123588 CA Primary

Addresses

Primary practice location

435 N Roxbury Dr
Ste 100
Beverly Hills, CA 90210-5027

Mailing address

4440 Sepulveda Blvd
Apt 217
Sherman Oaks, CA 91403-3903
Phone (917) 468-6893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000152 CA Practitioner - General Surgery 7618166968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Michael FeizGroup PAC ID 6608932462, 2 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
Suite 602
Beverly Hills, CA 90210-4220
Phone (310) 855-8058

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince May 16, 2013 Accepting new patients
Pih Health Physicians CurrentSince May 16, 2013 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
LMC Physician Services, PC Surgery Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Lutheran Medical Center Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1720251184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SEPULVEDA BLVD",
            "address_2": "APT 217",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033903",
            "telephone_number": "917-468-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "917-468-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIM",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "257737",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A123588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.