Individual provider Active NPI

Isaac Regev, MD

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1982807152
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A40791 Issued in CA
Practice address
6380 Wilshire Blvd
Suite 1111
Los Angeles, CA 90048-5003
Phone
(323) 653-4544
Fax
(323) 653-4500
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A40791 CA Primary

Addresses

Primary practice location

6380 Wilshire Blvd
Suite 1111
Los Angeles, CA 90048-5003

Mailing address

9100 Wilshire Blvd
Suite 844W
Beverly Hills, CA 90212
Phone (310) 550-4544

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000610 CA Practitioner - Neurology 7911053186 Practice locations: Los Angeles, CA; Tarzana, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6380 Wilshire Blvd
Suite 1111
Los Angeles, CA 90048-5018
Phone (323) 653-4544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1982807152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE 844W",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-550-4544",
            "fax_number": "310-550-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 WILSHIRE BLVD",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485003",
            "telephone_number": "323-653-4544",
            "fax_number": "323-653-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGEV",
        "first_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A40791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.