Active NPI
Peter Bruce Mendelsohn, M.D.
- Anesthesiology Physician
- Redondo Beach, CA
National Provider Identifier
1992909311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G65308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65308 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Anesthesia Partnership | Anesthesiology | Current | 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.
-
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- NPI 1881707586
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1295101590
-
- Rehabilitation Chiropractor
- Chula Vista, CA
- NPI 1154614030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.