Organization Active NPI

Beverly Healthcare Medical Group Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1992533731
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEVERLY HEALTHCARE MEDICAL GROUP INC
Practice address
4620 Beverly Blvd # 100
Los Angeles, CA 90004-3102
Phone
(323) 318-2423
Fax
(323) 318-2427
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Naheed Pyar Ali, MDNPI 1790786333
Title
President/ Ceo
Phone
(323) 318-2423

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4620 Beverly Blvd # 100
Los Angeles, CA 90004-3102

Mailing address

4620 Beverly Blvd # 100
Los Angeles, CA 90004-3102
Phone (323) 318-2423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240830002312 CA Part B Supplier - Clinic/Group Practice 5294274403 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

4260 Beverly Blvd
Ste 100
CA 90004

4260 Beverly Blvd
Ste 100
Los Angeles, CA 90004
Phone (323) 318-2423

4260 Beverly Blvd
Ste 100
Los Angeles, CA 90004
Phone (323) 318-2423

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1992533731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 BEVERLY BLVD # 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043102",
            "telephone_number": "323-318-2423",
            "fax_number": "323-318-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 BEVERLY BLVD # 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043102",
            "telephone_number": "323-318-2423",
            "fax_number": "323-318-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HEALTHCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "NAHEED",
        "authorized_official_middle_name": "PYAR",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "323-318-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.