NPIMap

Organization Active NPI

John M. Anastasatos M.D., Inc.

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1912190752
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A92907 Issued in CA
Legal business name
JOHN M. ANASTASATOS M.D., INC.
Practice address
436 N Bedford Dr
Suite 200
Beverly Hills, CA 90210-4310
Phone
(310) 888-4048
Fax
(310) 888-2827
NPI assigned
Aug 24, 2007
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. John M. Anastasatos, M.D.NPI 1245285048
Title
President
Phone
(310) 888-4048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A92907 CA Primary

Addresses

Primary practice location

436 N Bedford Dr
Suite 200
Beverly Hills, CA 90210-4310

Mailing address

436 N Bedford Dr
Suite 200
Beverly Hills, CA 90210-4310
Phone (310) 888-4048

National Provider Directory

National Provider Directory

Locations

436 N Bedford Dr
Ste 200
Beverly Hills, CA 90210
Phone (310) 550-2200

436 N Bedford Dr
Ste 209
Beverly Hills, CA 90210
Phone (310) 299-7373

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1912190752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-888-4048",
            "fax_number": "310-888-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-888-4048",
            "fax_number": "310-888-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. ANASTASATOS M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "ANASTASATOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-888-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A92907",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 5, 2010; 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.