Organization Active NPI

Regina L. Edmond, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • West Hollywood, CA
National Provider Identifier
1902120231
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A91799 Issued in CA
Legal business name
REGINA L. EDMOND, M.D., INC.
Practice address
8737 Beverly Blvd
Suite 201
West Hollywood, CA 90048-1828
Phone
(310) 659-4564
Fax
(310) 854-1035
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Regina L. Edmond, M.D.NPI 1528279387
Title
President
Phone
(310) 659-4564

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A91799 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd
Suite 201
West Hollywood, CA 90048-1828

Mailing address

8737 Beverly Blvd
Suite 201
West Hollywood, CA 90048-1828
Phone (310) 659-4564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000538 CA Part B Supplier - Clinic/Group Practice 9133258676 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

6330 San Vicente Blvd
Ste 305
Los Angeles, CA 90048
Phone (323) 525-0330

8737 Beverly Blvd
Ste 201
West Hollywood, CA 90048
Phone (310) 659-4564

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6756/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1902120231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD",
            "address_2": "SUITE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481828",
            "telephone_number": "310-659-4564",
            "fax_number": "310-854-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD",
            "address_2": "SUITE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481828",
            "telephone_number": "310-659-4564",
            "fax_number": "310-854-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA L. EDMOND, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "EDMOND",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-4564",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A91799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.