Active NPI
Roberto Rey, M.D.
- Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1942380787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G076688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G076688 | CA | MD | Plastic Surgery Physician |
| 131200 | FL | MD | Plastic 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.