NPIMap

Individual provider Active NPI

Victor Gura, MD

  • Nephrology Physician
  • Beverly Hills, CA
National Provider Identifier
1932296357
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A34872 Issued in CA
Practice address
99 N la Cienega Blvd
Suite 203
Beverly Hills, CA 90211-2222
Phone
(310) 550-6240
Fax
(310) 289-9959
NPI assigned
Oct 6, 2006
Last updated
May 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A34872 CA
Nephrology Physician 207RN0300X A34872 CA Primary

Addresses

Primary practice location

99 N la Cienega Blvd
Suite 203
Beverly Hills, CA 90211-2222

Mailing address

50 N la Cienega Blvd Ste 310
Beverly Hills, CA 90211-2241
Phone (310) 550-6240

Other identifiers 1

IdentifierTypeStateIssuer
00A348720MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000274 CA Practitioner - Internal MedicinePractitioner - Nephrology 6709784705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

50 N la Cienega Blvd
Suite 310
Beverly Hills, CA 90211-2241
Phone (310) 550-6240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as individual
Quality
70.3
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34872CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medipace Beverly Hills Professional Corporation Nephrology CurrentSince Jan 30, 2015 Accepting new patients
Synergy Hematology Oncology Medical Associates Inc Past Accepting new patients
Synergy Hematology Oncology Medical Associates, Inc. Past Accepting new patients
Kidney Dialysis Center of West Los Angeles PastSince Jun 19, 2006 Accepting new patients

Locations

50 N La Cienega Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 550-6240

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1932296357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 310",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112241",
            "telephone_number": "310-550-6240",
            "fax_number": "310-289-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD",
            "address_2": "SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112222",
            "telephone_number": "310-550-6240",
            "fax_number": "310-289-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURA",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34872",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A34872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A348720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.