Active NPI
Trevor N.G. Medbery, D.D.S.
- Dentist
- Beverly Hills, CA
National Provider Identifier
1912172867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28042
- Practice address
- 9665 Wilshire Blvd
Suite 222
Beverly Hills, CA 90212-2340 - Phone
- (310) 860-0102
- Fax
- (310) 276-1314
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28042 | CA | Primary |
Addresses
Primary practice location
9665 Wilshire Blvd
Suite 222
Beverly Hills, CA 90212-2340
Mailing address
1146 18TH St
Manhattan Beach, CA 90266-2916
Phone (310) 860-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28042 | Other | CA | CAL. LIC. NO. 28042 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1912172867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 18TH ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662916",
"telephone_number": "310-860-0102",
"fax_number": "310-276-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9665 WILSHIRE BLVD",
"address_2": "SUITE 222",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122340",
"telephone_number": "310-860-0102",
"fax_number": "310-276-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDBERY",
"first_name": "TREVOR",
"middle_name": "N.G.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL. LIC. NO. 28042",
"identifier": "28042",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Olivia McNally, PA
- Diane McWhorter, NP
- Taryn Mead, M.A., M.F.T.
- D Louise Mebane, PHD
- Med Institute (Mobile Physician Associates)
- Medical Anesthesia Associates of Southern California Inc
- Medical Group Associates Inc
- Medical Group of Beverly Hills (Cedars Sinai Medical Group)
- Medical Imaging Associates (Beverly Hills Diagnostic Breast Center Medical Group)
- Medical Imaging Partners, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.