Ivan I. Brooks, a Professional Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IVAN I. BROOKS, A PROFESSIONAL MEDICAL CORPORATION

Practice address

8670 Wilshire Blvd
#300
Beverly Hills, CA 90211-2924

Phone

(310) 275-1646

Fax

(310) 275-4294

NPI assigned

Aug 5, 2006

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Isreal Brooks, M.D.

Title

President

Phone

(310) 351-3876

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1932118270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "address_2": "#535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013005",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD",
            "address_2": "#300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112924",
            "telephone_number": "310-275-1646",
            "fax_number": "310-275-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN I. BROOKS, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "ISREAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-351-3876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A653210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oreen Liel Ishaaya, CNM
• Brooke Israel, DPT
• Michelle Israel, MD
• Rafi Israel, MD
• Jordan S Istrin, DPT
• Hanna Ivantsova
• Ivdi Medical, Inc., a Professional Corporation
• Ives MD, Inc.
• Graham Chester Arthur Ives, MD
• Ivhr Medical, Inc., a Professional Corporation

• Anesthesiology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.