Individual provider Active NPI

Jonathan Reitman, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Beverly Hills, CA
National Provider Identifier
1922157320
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
A66975 Issued in CA
Practice address
8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3227
Phone
(310) 360-7690
Fax
(310) 360-7694
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X A66975 CA Primary

Addresses

Primary practice location

8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3227

Mailing address

8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3227
Phone (310) 360-7690

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000217 CA Practitioner - Internal MedicinePractitioner - Addiction Medicine 1658424908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8484 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-3235
Phone (310) 360-7690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66975CAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Reitman M.D., Inc. Addiction Medicine CurrentSince Jun 9, 2009 Accepting new patients
Destiny Recovery Inc Past Accepting new patients
Avedis Recovery Inc. Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

8484 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 360-7690

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1922157320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113227",
            "telephone_number": "310-360-7690",
            "fax_number": "310-360-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113227",
            "telephone_number": "310-360-7690",
            "fax_number": "310-360-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITMAN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A66975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.