| Pacific Oaks Medical Group & Subsidiary | |
|
150 N Robertson Blvd Suite 300 Beverly Hills CA 90211-2142 | |
| (310) 652-2562 | |
| (310) 967-3698 |
| Full Name | Pacific Oaks Medical Group & Subsidiary |
|---|---|
| Speciality | General Practice |
| Location | 150 N Robertson Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Anthony J Scarsella (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3106522562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Oaks Medical Group & Subsidiary 150 N Robertson Blvd Ste 300 Beverly Hills CA 90211-2145 Ph: (310) 652-2562 | Pacific Oaks Medical Group & Subsidiary 150 N Robertson Blvd Suite 300 Beverly Hills CA 90211-2142 Ph: (310) 652-2562 |
| NPI Number | 1225127566 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/08/2019 |
| Medicare PECOS PAC ID | 1951337468 |
|---|---|
| Medicare Enrollment ID | O20050714001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225127566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven J Waltrip |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467423046 PECOS PAC ID: 8123919404 Enrollment ID: I20040324000868 |
| Provider Name | John Kowalczyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548254089 PECOS PAC ID: 0042273989 Enrollment ID: I20041110001255 |
| Provider Name | Ramprasad C Dandillaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900236 PECOS PAC ID: 2062425556 Enrollment ID: I20060731000253 |
| Provider Name | Douglas David Davies |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326073222 PECOS PAC ID: 4688841380 Enrollment ID: I20120314000801 |
| Provider Name | Bryan Gaudio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679865885 PECOS PAC ID: 6204154701 Enrollment ID: I20150414000000 |
| Provider Name | Omeed Warej |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821356692 PECOS PAC ID: 0547540205 Enrollment ID: I20161215000604 |
| Provider Name | David Razmik Alajajian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215354337 PECOS PAC ID: 4183997646 Enrollment ID: I20170905001062 |
| Provider Name | Jack Richard O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851749766 PECOS PAC ID: 2466788385 Enrollment ID: I20190730001529 |
| Provider Name | Deacon E Farrell |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467837377 PECOS PAC ID: 3870921653 Enrollment ID: I20201228000800 |
| Provider Name | Marcus Tellez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144753773 PECOS PAC ID: 0941574438 Enrollment ID: I20210113000503 |
| Provider Name | David Lester Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114657160 PECOS PAC ID: 3173991627 Enrollment ID: I20221115001449 |
Treatmedngo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 W Olympic Blvd Ste 103&104, Beverly Hills, CA 90211 Phone: 310-274-8080 | |
Refael Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8200 Wilshire Blvd, Beverly Hills, CA 90211 Phone: 310-879-7167 Fax: 310-933-5688 | |
Michael D. Borookhim, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9301 Wilshire Blvd, Suite 602, Beverly Hills, CA 90210 Phone: 310-288-0881 | |
Ultrasound Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Wilshire Blvd, Suite 106, Beverly Hills, CA 90211 Phone: 310-273-8885 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Arnaz Dr Apt 3, Beverly Hills, CA 90211 Phone: 213-215-5142 | |
Nancy P. Rahnama, M.d., A.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Rodeo Dr, Penthouse Number 1, Beverly Hills, CA 90210 Phone: 310-299-7373 Fax: 310-432-6647 | |
Laurence Seigler, M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 N Bedford Dr, Suite 308, Beverly Hills, CA 90210 Phone: 310-274-6158 Fax: 310-274-5709 |