Cassileth Reconstructive Surgeons, Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

CASSILETH RECONSTRUCTIVE SURGEONS, INC

Practice address

436 N Bedford Dr
Suite 103
Beverly Hills, CA 90210-4323

Phone

(310) 278-8200

Fax

(424) 202-3769

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Cassileth

Title

Cfo

Phone

(310) 278-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beina Azadgoli, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1568966125
  Medicare reassignment Care Compare group NPD
• Olivia Catherine Almeida-Hunt, M.D.

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1376842880
  Medicare reassignment Care Compare group
• Terry David Krekorian, M.D.

  • Anesthesiology Physician
  • Marina del Rey, CA
  • NPI 1396742813
  Medicare reassignment Care Compare group
• Kimberly Marie Richardson, M.D

  • Anesthesiology Physician
  • West Hollywood, CA
  • NPI 1205060837
  Medicare reassignment Care Compare group
• Catherine S. Chang, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1851684062

  Plastic and Reconstructive Surgery

  Medicare reassignment NPD
• Ricarda Franco, MD

  • Anesthesiology Physician
  • West Hollywood, CA
  • NPI 1568457703
  Medicare reassignment
• Shetal Hashmukh Patel, M.D

  • Anesthesiology Physician
  • West Hollywood, CA
  • NPI 1932490760
  Care Compare group
• Leslie Memsic, M.D.

  • Surgical Oncology Physician
  • Beverly Hills, CA
  • NPI 1821019456
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1861979288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104323",
            "telephone_number": "310-278-8200",
            "fax_number": "424-202-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104323",
            "telephone_number": "310-278-8200",
            "fax_number": "424-202-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSILETH RECONSTRUCTIVE SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "CASSILETH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-278-8200"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Carungcong, PPSC
• Dominic Joseph Carusillo
• Rowan Guinevere Casey-Ford, M.D.
• Brian Casey
• Caspian Psychological Services Inc.
• Lisa B Cassileth, MD
• Francesca Castan
• Grace Castanon, PA-C
• Caster Eye Center Medical Group
• Caster Eye Center Medical Group

• Plastic and Reconstructive Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.