Individual provider Active NPI

Merita Elison, NP

  • Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1952949364
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95012742 Issued in CA
Practice address
9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562
Phone
(310) 652-3668
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95012742 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd Ste 280E
Beverly Hills, CA 90212-3562

Mailing address

7856 Dalen St
Downey, CA 90242-4116
Phone (562) 441-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414001858 CA Practitioner - Nurse Practitioner 9234568650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95012742CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farshid Nejad, D.P.M. a Professional Corporation CurrentSince Mar 1, 2020 Accepting new patients

Locations

9100 Wilshire Blvd
Ste 280E
Beverly Hills, CA 90212
Phone (310) 652-3668

11901 Santa Monica Blvd
Ste 303
Los Angeles, CA 90025
Phone (323) 651-0405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1952949364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7856 DALEN ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424116",
            "telephone_number": "562-441-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 280E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123562",
            "telephone_number": "310-652-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISON",
        "first_name": "MERITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95012742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.