Organization Active NPI

John Christian Layke DO

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1861787673
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
20A10771 Issued in CA
Legal business name
JOHN CHRISTIAN LAYKE DO
Practice address
436 N Bedford Dr
Suite 308
Beverly Hills, CA 90210-4310
Phone
(310) 275-6600
Fax
(310) 275-6607
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
John Christian Layke, DO
Title
Ceo
Phone
(310) 275-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 20A10771 CA Primary

Addresses

Primary practice location

436 N Bedford Dr
Suite 308
Beverly Hills, CA 90210-4310

Mailing address

436 N Bedford Dr
Suite 308
Beverly Hills, CA 90210-4310
Phone (310) 275-6600

Other identifiers 1

IdentifierTypeStateIssuer
20A10771OtherCAOSTEOPATHIC LICENSE

National Provider Directory

National Provider Directory

Locations

436 N Bedford Dr
Ste 308
Beverly Hills, CA 90210
Phone (310) 274-6200

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1861787673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-275-6600",
            "fax_number": "310-275-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-275-6600",
            "fax_number": "310-275-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHRISTIAN LAYKE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "LAYKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-275-6600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A10771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC LICENSE",
            "identifier": "20A10771",
            "state": "CA"
        }
    ],
    "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 Jun 9, 2011; 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.