Organization Active NPI

Beverly Hills Migraine and Pain Management Institute, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Beverly Hills, CA
National Provider Identifier
1982158663
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BEVERLY HILLS MIGRAINE AND PAIN MANAGEMENT INSTITUTE, INC
Practice address
436 N Roxbury Dr Ste 115
Beverly Hills, CA 90210-5016
Phone
(424) 302-0289
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Benjamin Taimoorazy, MDNPI 1134225790
Title
Medical Director
Phone
(424) 302-0289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

436 N Roxbury Dr Ste 115
Beverly Hills, CA 90210-5016

Mailing address

436 N Roxbury Dr Ste 115
Beverly Hills, CA 90210-5016
Phone (424) 302-0289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170428002010 CA Part B Supplier - Clinic/Group Practice 6901182674 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA; Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

436 N Roxbury Dr
Ste 101A
Beverly Hills, CA 90210
Phone (309) 838-1747

436 N Roxbury Dr
Ste 101
Beverly Hills, CA 90210
Phone (309) 838-1747

8540 Reseda Blvd
Ste 103
Northridge, CA 91324
Phone (424) 302-0289

6325 Topanga Canyon Blvd
Ste 107
Woodland Hills, CA 91367
Phone (818) 884-2301

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1982158663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105016",
            "telephone_number": "424-302-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105016",
            "telephone_number": "424-302-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS MIGRAINE AND PAIN MANAGEMENT INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "TAIMOORAZY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-302-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "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 Apr 20, 2017; 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.