Bedford Breast Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEDFORD BREAST CENTER, INC

Practice address

436 N Bedford Dr
Suite 105
Beverly Hills, CA 90210-4310

Phone

(310) 278-8590

Fax

(310) 278-8230

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Nora Lyons

Title

Manager

Phone

(310) 278-8590

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regan Ferraro

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1770978918
  Medicare reassignment Care Compare group NPD
• Carol S Moss, M.D.

  • Pediatric Radiology Physician
  • Los Angeles, CA
  • NPI 1548378144
  Medicare reassignment Care Compare group NPD
• Kara-Lee Pool, MD

  • Diagnostic Radiology Physician
  • Torrance, CA
  • NPI 1508025289
  Medicare reassignment Care Compare group NPD
• Lakshmi C. Tegulapalle, D.O.

  • Diagnostic Radiology Physician
  • Pasadena, CA
  • NPI 1659355824
  Medicare reassignment Care Compare group NPD
• Alyssa T Watanabe, MD

  • Neuroradiology Physician
  • Los Angeles, CA
  • NPI 1780660472
  Medicare reassignment Care Compare group NPD
• Natalie Rabb, NP

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1154778561
  Medicare reassignment NPD
• Guita Rahbar, MD

  • Diagnostic Radiology Physician
  • Sylmar, CA
  • NPI 1942233853
  Medicare reassignment NPD
• Karen L Reuss, M.D.

  • Diagnostic Radiology Physician
  • Laguna Hills, CA
  • NPI 1336190354
  Medicare reassignment NPD
• Leslie Memsic, M.D.

  • Surgical Oncology Physician
  • Beverly Hills, CA
  • NPI 1821019456
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1760878367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-278-8590",
            "fax_number": "310-278-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-278-8590",
            "fax_number": "310-278-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD BREAST CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-278-8590"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION ENTITY NUMBER",
            "identifier": "C3762179",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel L. Becker, PHD
• Beckett, MD, Inc.
• Bedford Ambulatory Surgery Center
• Bedford Anesthesia Inc.
• Bedford Bone Density Center, Inc.
• Bedford Breast Surgeons
• Bedford Dental Group
• Bedford Hospice
• Bedford Medical Corporation
• Bedford Medical Group, Inc

• Multi-Specialty Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.