Individual provider Active NPI

Amit Banerjee, M.D.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1821529959
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A165446 Issued in CA
Practice address
8530 Wilshire Blvd Ste 440
Beverly Hills, CA 90211-3115
Phone
(408) 832-3188
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A165446 CA Primary

Addresses

Primary practice location

8530 Wilshire Blvd Ste 440
Beverly Hills, CA 90211-3115

Mailing address

8530 Wilshire Blvd Ste 440
Beverly Hills, CA 90211-3115
Phone (408) 832-3188

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218001121 CA Practitioner - Family Practice 4688089949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12550 Hesperia Rd
Suite 100
Victorville, CA 92395-5873
Phone (760) 241-6666

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

2205 W Beverly Blvd
Montebello, CA 90640-2301
Phone (323) 728-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A165446CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine Current Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Jan 15, 2021 Accepting new patients
Pih Health Physicians CurrentSince Jan 15, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2023 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
St. Mary Medical Center Past Accepting new patients
Beverly Hills Brain and Body Center PastSince Aug 14, 2024 Accepting new patients
Beverly Hills Medical Imaging Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients

Locations

18310 US Highway 18
Ste B
Apple Valley, CA 92307

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

12550 Hesperia Rd
Ste 100
Victorville, CA 92395

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

Interoperability endpoints

  • Direct secure messaging: abanerjee2755204@oc.providencedirect.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1821529959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD STE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113115",
            "telephone_number": "408-832-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD STE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113115",
            "telephone_number": "408-832-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A165446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.