Individual provider Active NPI

John Christian Layke, D.O.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1912920109
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
20A10771 Issued in CA
Practice address
436 N. Bedford Drive
Suite 308
Beverly Hills, CA 90210-4310
Phone
(310) 275-6600
Fax
(310) 275-6607
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 20A10771 CA Primary

Addresses

Primary practice location

436 N. Bedford Drive
Suite 308
Beverly Hills, CA 90210-4310

Mailing address

436 N. Bedford Drive
Suite 308
Beverly Hills, CA 90210-4310
Phone (310) 275-6600

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10771CAMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: john.layke.1@32631.direct.athenahealth.com
  • Direct secure messaging: john.layke@4147.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1912920109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N. BEDFORD DRIVE",
            "address_2": "SUITE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-275-6600",
            "fax_number": "310-275-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N. BEDFORD DRIVE",
            "address_2": "SUITE 308",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-275-6600",
            "fax_number": "310-275-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYKE",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A10771",
            "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 23, 2011; 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.