Beverly Hills Spine and Pain Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BEVERLY HILLS SPINE AND PAIN INC

Practice address

444 S San Vicente Blvd
Suite #800
Los Angeles, CA 90048-4165

Phone

(310) 423-9900

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jason Berkley, D.O.NPI 1033119250

Title

President

Phone

(310) 423-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16644/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason A Berkley, D.O.

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
  • NPI 1033119250
  Medicare reassignment NPD Authorized official
• Jodi R Ladge, PA-C

  • Surgical Physician Assistant
  • Los Angeles, CA
  • NPI 1437302064
  Medicare reassignment

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1972937001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S BUNDY DR",
            "address_2": "APT #203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256183",
            "telephone_number": "310-617-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE #800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS SPINE AND PAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "BERKLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-423-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Hills Rejuvenation Center
• Beverly Hills Rejuvenation Medical Associates, Inc.
• Beverly Hills Senior Care Facility Inc
• Beverly Hills Shoulder and Knee a Medical Corporation
• Beverly Hills Specialty Care Surgery
• Beverly Hills Sunset Medical Group
• Beverly Hills Sunset Surgery Center, Inc
• Beverly Hills Surgery Center Group
• Beverly Hills Terrace LLC
• Beverly Hills Therapy and Family Counseling

• Interventional Pain Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.