NPIMap

Organization Active NPI

Gastroenterology Associates of Beverly Hills

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1821301714
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A91773 Issued in CA
Legal business name
GASTROENTEROLOGY ASSOCIATES OF BEVERLY HILLS
Practice address
9033 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-1837
Phone
(310) 858-2224
Fax
(323) 939-2439
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Omid A Shaye, MDNPI 1720267990
Title
President
Phone
(310) 858-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A91773 CA Primary

Addresses

Primary practice location

9033 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-1837

Mailing address

PO Box 67189
Los Angeles, CA 90067-0189
Phone (310) 273-7365

Other names 1

  • BEVERLY HILLS GASTROENTEROLOGY ASSOCIATES Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000200 CA Part B Supplier - Clinic/Group Practice 5799979076 Receives reassigned benefits from 5 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8700 Gracie Allen Dr
Los Angeles, CA 90048
Phone (310) 673-9598

Practitioners & affiliated clinicians

Practitioners 7

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": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1821301714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67189",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900670189",
            "telephone_number": "310-273-7365",
            "fax_number": "310-273-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-858-2224",
            "fax_number": "323-939-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "SHAYE",
        "authorized_official_first_name": "OMID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-858-2224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A91773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY HILLS GASTROENTEROLOGY ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 25, 2010; 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.