Organization Active NPI

Melamed Spine LLC

  • Surgical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1851736615
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
MELAMED SPINE LLC
Practice address
9777 Wilshire Blvd Ste 808
Beverly Hills, CA 90212-1908
Phone
(310) 595-5040
Fax
(310) 593-4360
NPI assigned
May 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Hooman Meir Melamed, MDNPI 1447350053
Title
President
Phone
(310) 595-5040

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
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 808
Beverly Hills, CA 90212-1908

Mailing address

PO Box 491518
Los Angeles, CA 90049-9518
Phone (310) 595-5040

National Provider Directory

National Provider Directory

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": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1851736615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491518",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900499518",
            "telephone_number": "310-595-5040",
            "fax_number": "310-574-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 808",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121908",
            "telephone_number": "310-595-5040",
            "fax_number": "310-593-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELAMED SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_middle_name": "MEIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-595-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "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 Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.