Roxbury Dermatology and Multispecialty Practice Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROXBURY DERMATOLOGY AND MULTISPECIALTY PRACTICE INC

Practice address

450 N Roxbury Dr Ste 410
Beverly Hills, CA 90210-4231

Phone

(884) 544-1617

Fax

(424) 394-1627

NPI assigned

Oct 4, 2018

Last updated

Oct 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M Amron, M. D.NPI 1184733214

Title

President

Phone

(844) 544-1617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ahdout, M.D.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1356571897
  Medicare reassignment Care Compare group NPD
• David Meyer Amron, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1184733214
  Medicare reassignment NPD Authorized official
• Michael T Bontekoe, MS, PA-C

  • Medical Physician Assistant
  • Beverly Hills, CA
  • NPI 1124120902
  Medicare reassignment Care Compare group
• Aria Vazirnia, M.D.

  • Dermatology Physician
  • Boston, MA
  • NPI 1528449519

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1982179065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104231",
            "telephone_number": "884-544-1617",
            "fax_number": "424-394-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104231",
            "telephone_number": "884-544-1617",
            "fax_number": "424-394-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY DERMATOLOGY AND MULTISPECIALTY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "AMRON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-544-1617",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rox Beverly Hills Surgery Center LLC
• Rox Physician Medical Group PC
• Roxbury Anesthesia Group, Inc.
• Roxbury Beverly Hills Surgical Medical Center, Inc
• Roxbury Clinic and Surgery Center Inc
• Roxbury Dr Outpatient Surg Ctr
• Roxbury Healthcare Group Inc
• Roxbury Institute Surgical Center
• Roxbury Pharmacy, Inc. (Encore Pharmacy)
• Roxbury Rehab

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.