Active NPI
Vanessa Gabrovsky Cuellar MD Inc
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1942759154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A134536
- Legal business name
- VANESSA GABROVSKY CUELLAR MD INC
- Practice address
- 450 N Roxbury Dr
3Rd Floor
Beverly Hills, CA 90210-4231 - Phone
- (310) 385-7766
- NPI assigned
- Sep 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vanessa Gabrovsky Cuellar, MD
- Title
- Chief Executive Officer
- Phone
- (917) 744-7591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A134536 | CA | Primary |
Addresses
Primary practice location
450 N Roxbury Dr
3Rd Floor
Beverly Hills, CA 90210-4231
Mailing address
450 N Roxbury Dr
3Rd Floor
Beverly Hills, CA 90210-4231
Phone (310) 385-7766
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475020800000",
"number": "1942759154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N ROXBURY DR",
"address_2": "3RD FLOOR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104231",
"telephone_number": "310-385-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N ROXBURY DR",
"address_2": "3RD FLOOR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104231",
"telephone_number": "310-385-7766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANESSA GABROVSKY CUELLAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A",
"authorized_official_last_name": "CUELLAR",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "GABROVSKY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "917-744-7591",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "A134536",
"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 Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.