Individual provider Active NPI

Peter Bruce Mendelsohn, M.D.

  • Anesthesiology Physician
  • Redondo Beach, CA
National Provider Identifier
1992909311
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G65308 Issued in CA
Practice address
514 N Prospect Ave
Ste 100
Redondo Beach, CA 90277-3036
Phone
(310) 376-2707
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G65308 CA Primary
Pain Medicine Physician 208VP0000X G65308 CA

Addresses

Primary practice location

514 N Prospect Ave
Ste 100
Redondo Beach, CA 90277-3036

Mailing address

644 Monterey Blvd
Hermosa Beach, CA 90254-4546
Phone (310) 560-8806

Other names 1

  • Dr. Peter Mendelsohn Professional name

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
I20111104000529 CA Practitioner - AnesthesiologyPractitioner - Pain Management 9931137718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G65308CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Anesthesia Partnership Anesthesiology CurrentSince Nov 13, 2021 Accepting new patients
Peter Mendelsohn M D Inc Anesthesiology Current Accepting new patients
California Medical Injury & Rehabilitation Physicians Inc Past Accepting new patients

Locations

9001 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 275-1646

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1992909311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 MONTEREY BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544546",
            "telephone_number": "310-560-8806",
            "fax_number": "323-296-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N PROSPECT AVE",
            "address_2": "STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773036",
            "telephone_number": "310-376-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "PETER",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G65308",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G65308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "MENDELSOHN",
            "prefix": "DR.",
            "credential": "M.D., INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.