Active NPI
Plastic Surgery Practice at Beverly Hills, PC
- Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1760937130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PLASTIC SURGERY PRACTICE AT BEVERLY HILLS, PC
- Practice address
- 416 N Bedford Dr
Suite 306
Beverly Hills, CA 90210-4322 - Phone
- (631) 827-8159
- NPI assigned
- Aug 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathew James
- Title
- Billing Manager
- Phone
- (631) 827-8159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
416 N Bedford Dr
Suite 306
Beverly Hills, CA 90210-4322
Mailing address
416 N Bedford Dr
Suite 306
Beverly Hills, CA 90210-4322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471305600000",
"number": "1760937130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR",
"address_2": "SUITE 306",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR",
"address_2": "SUITE 306",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104322",
"telephone_number": "631-827-8159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY PRACTICE AT BEVERLY HILLS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "631-827-8159"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"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 Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.