Organization Active NPI

Peiman Berdjis MD Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1841325099
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A067173 Issued in CA
Legal business name
PEIMAN BERDJIS MD INC
Doing business as
Beverly Hills Family Medical Center
Practice address
6222 Wilshire Blvd Ste 303
Los Angeles, CA 90048-5193
Phone
(323) 525-1999
Fax
(323) 525-1991
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Peiman BerdjisNPI 1326150590
Title
President
Phone
(310) 277-2999

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A067173 CA Primary

Addresses

Primary practice location

6222 Wilshire Blvd Ste 303
Los Angeles, CA 90048-5193

Mailing address

PO Box 5349
Beverly Hills, CA 90209-5349
Phone (323) 525-1999

Other identifiers 1

IdentifierTypeStateIssuer
00A671730MedicaidCA

Other names 1

  • Beverly Hills Family Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000937 CA Part B Supplier - Clinic/Group Practice 2961457643 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1001757Beverly Hills Family Medical Center6222 Wilshire Blvd Suite 303, Los Angeles, CA 90048Certificate of waiverJul 18, 2026

National Provider Directory

National Provider Directory

Locations

5916 W Pico Blvd
Los Angeles, CA 90035
Phone (323) 939-3184

8702 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 289-0424

Practitioners & affiliated clinicians

Practitioners 1

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1841325099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5349",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095349",
            "telephone_number": "323-525-1999",
            "fax_number": "323-525-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485193",
            "telephone_number": "323-525-1999",
            "fax_number": "323-525-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEIMAN BERDJIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BERDJIS",
        "authorized_official_first_name": "PEIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-277-2999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A067173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A671730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.