Individual provider Active NPI

Roberto Rey, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1942380787
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G076688 Issued in CA
Practice address
450 N Roxbury Dr Ste 400
Beverly Hills, CA 90210-4218
Phone
(310) 205-3107
Fax
(310) 205-8855
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 131200 FL
Plastic Surgery Physician 208200000X G076688 CA Primary

Addresses

Primary practice location

450 N Roxbury Dr Ste 400
Beverly Hills, CA 90210-4218

Mailing address

435 N Bedford Dr PH
Beverly Hills, CA 90210-4316
Phone (310) 205-3107

Other practice location 1

100 N Dean Rd Ste 101
Orlando, FL 32825-3710
Phone (407) 493-8783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G076688CAMDPlastic Surgery Physician
131200FLMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942380787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR PH",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104316",
            "telephone_number": "310-205-3107",
            "fax_number": "310-205-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104218",
            "telephone_number": "310-205-3107",
            "fax_number": "310-205-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Dean Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328253710",
            "country_code": "US",
            "telephone_number": "407-493-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REY",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "131200",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G076688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.