Organization Active NPI

Dr Michael Feiz

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1760646186
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A79543 Issued in CA
Legal business name
DR MICHAEL FEIZ
Practice address
435 N Roxbury Dr
Ste 100
Beverly Hills, CA 90210-5027
Phone
(310) 855-8058
Fax
(310) 855-8059
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Michael Feiz, MD
Title
President
Phone
(310) 855-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A79543 CA Primary

Addresses

Primary practice location

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

Mailing address

9663 Santa Monica Blvd
# 294
Beverly Hills, CA 90210-4303
Phone (310) 855-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000014 CA Part B Supplier - Clinic/Group Practice 6608932462 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA; Culver City, CA; Los Angeles, CA; Marina del Rey, CA; Tustin, CA

National Provider Directory

National Provider Directory

Locations

435 N Roxbury Dr
Ste 100
Beverly Hills, CA 90210
Phone (310) 855-8058

8500 Wilshire Blvd
Ste 707
Beverly Hills, CA 90211
Phone (310) 652-2600

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

24510 Town Center Dr
Ste 180
Valencia, CA 91355
Phone (661) 260-3021

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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1760646186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "# 294",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-855-8058",
            "fax_number": "310-855-8059"
        },
        {
            "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": "310-855-8058",
            "fax_number": "310-855-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL FEIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "FEIZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-855-8058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A79543",
            "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 Apr 30, 2012; 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.