Dezeri Navarro, PA-C, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54309 Issued in CA

Practice address

436 N Roxbury Dr Ste 212
Beverly Hills, CA 90210-5017

Phone

(310) 273-0467

Fax

(310) 273-2382

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rhonda Rand M.D. Inc.Group PAC ID 9436274180, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Rhonda Rand M.D. Inc.

  • Specialist
  • Beverly Hills, CA
  • NPI 1558481739
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1730537374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 212",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "310-273-0467",
            "fax_number": "310-273-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 212",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "310-273-0467",
            "fax_number": "310-273-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "DEZERI",
        "credential": "PA-C, MMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Aco, LLC
• Nationwide MRI
• Nicola Eva Natsis, MD
• Idell Freed Natterson, PHD MFT LCSW
• Nicole Suzanne Navarre Girault, JD, MA, AMFT
• Jose De Jesus Navarro, LMFT
• Vania Navasartian
• Navid Farahmand,MD Inc
• Adil Navid
• Pedram Navid, MD

• Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.

Verify at the official NPI Registry.