Individual provider Active NPI

Raphael Nach, MD

  • Otolaryngology Physician
  • Beverly Hills, CA
National Provider Identifier
1851497713
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A31162 Issued in CA
Practice address
435 North Roxbury Drive
#207
Beverly Hills, CA 90210
Phone
(310) 858-4493
Fax
(310) 858-4497
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A31162 CA Primary

Addresses

Primary practice location

435 North Roxbury Drive
#207
Beverly Hills, CA 90210

Mailing address

8631 W 3Rd St
Ste 945E
Los Angeles, CA 90048-5912
Phone (310) 858-4493

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
I20100208000174 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5193868578 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31162CAMDGeneral Practice Dentistry
A31162CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gupta Zandifar Operating Account Otolaryngology CurrentSince Aug 1, 2020 Accepting new patients
Ryan F. Osborne, M.D. Inc. Otolaryngology CurrentSince Jan 1, 2010 Accepting new patients
BH Dermatology Management Inc. CurrentSince Jan 23, 2012 Accepting new patients
Beverly Hills Dermatology Surgery Center PastSince Jan 23, 2012 Accepting new patients

Locations

433 N Camden Dr
Ste 805
Beverly Hills, CA 90210
Phone (310) 550-7661

8920 Wilshire Blvd
Ste 604
Beverly Hills, CA 90211
Phone (310) 464-2257

8631 W 3rd St
Ste 945E
Los Angeles, CA 90048
Phone (310) 657-0123

Organizations & group practices 4

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1851497713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "STE 945E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485912",
            "telephone_number": "310-858-4493",
            "fax_number": "310-858-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NORTH ROXBURY DRIVE",
            "address_2": "#207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-858-4493",
            "fax_number": "310-858-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACH",
        "first_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A31162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.