Active NPI
Hussam Y Antoin, MD
- Anesthesiology Physician
- Beverly Hills, CA
National Provider Identifier
1902894314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A88484
- Practice address
- 120 S Spalding Dr
Ste. 301
Beverly Hills, CA 90212-1800 - Phone
- (310) 385-7755
- NPI assigned
- Oct 10, 2005
- Last updated
- Jan 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A88484 | CA | Primary |
Addresses
Primary practice location
120 S Spalding Dr
Ste. 301
Beverly Hills, CA 90212-1800
Mailing address
1326 Miller Dr
Los Angeles, CA 90069-1420
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88484 | CA | MD | Anesthesiology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1114177359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1902894314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 MILLER DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900691420",
"fax_number": "323-848-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S SPALDING DR",
"address_2": "STE. 301",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121800",
"telephone_number": "310-385-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOIN",
"first_name": "HUSSAM",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A88484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Annie Y Tsai, MD, Inc.
- David Anson, D.D.S
- Paul Anstey, DDS
- Anthony C Griffin MD a Professional Medical Corporation
- Ap Marshall Medical Corporation (Ikon Surgery Center)
- Apex Anesthesia Associates
- Apex Behavioral LLC
- Apex Digital Health Integrations Inc
- Apex Medical Laboratory
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.