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

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.

• Jennifer Ahdout, M.D.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1356571897

  CA, Dermatology

  Medicare reassignment Care Compare group NPD
• David Meyer Amron, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1184733214

  CA, Dermatology

  Medicare reassignment NPD Authorized official
• Michael T Bontekoe, MS, PA-C

  • Medical Physician Assistant
  • Beverly Hills, CA
  • NPI 1124120902

  CA

  Medicare reassignment Care Compare group
• Aria Vazirnia, M.D.

  • Dermatology Physician
  • Boston, MA
  • NPI 1528449519

  CA, Dermatology

  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.
• Roxbury Rehab

• All providers in Beverly Hills, CA
• 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.