DR. BRAD LESLIE PENENBERG (NPI# 1831122266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831122266 |
| Entity Type | Individual |
| Full Name | DR. BRAD LESLIE PENENBERG |
| Credential | M.D. |
| Practice Address |
120 S Spalding Dr Ste 400 Beverly Hills CA 90212-1842 |
| Practice Telephone | 3108603470 |
| Practice Fax Number | 3108603448 |
| Mailing Telephone | 3108603470 |
| Mailing Fax Number | 3108603448 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G058794 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
120 S SPALDING DR STE 400 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225541873 | Martha Cervantes | Physician Assistant | 120 S Spalding Dr Ste 400, Beverly Hills, CA 90212-1842 | 2017-11-06 |
| 1699818054 | Resa Lee Oshiro | Physical Medicine & Rehabilitation | 120 S Spalding Dr Ste 400, Beverly Hills, CA 90212-1842 | 2007-02-15 |
| 1821166588 | Johm J Regan, M. D., Inc. | Specialist | 120 S Spalding Dr Ste 400, Beverly Hills, CA 90212-1842 | 2006-12-01 |
| 1013932508 | John James Regan | Orthopaedic Surgery | 120 S Spalding Dr Ste 400, Beverly Hills, CA 90212-1842 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637976 | Emergency Surgical Assistants Inc | Orthopaedic Surgery | 435 N Roxbury Dr Ste 100, Beverly Hills, CA 90210-5003 | 2018-01-29 |
| 1831503143 | Richard A Rogachefsky, Md, Pa | Orthopaedic Surgery | 8929 Wilshire Blvd Ph Suite, Beverly Hills, CA 90211-1954 | 2014-06-13 |
| 1265781538 | Taryn Rose | Orthopaedic Surgery | 215 S Bedford Dr, Beverly Hills, CA 90212-3722 | 2012-09-02 |
| 1114176021 | Alan S. Roberts | Orthopaedic Surgery | 8920 Wilshire Boulevard, Suite #418, Beverly Hills, CA 90211 | 2008-09-16 |
| 1184886954 | Daniel Kharrazi Md Inc | Orthopaedic Surgery | 9231 W Olympic Blvd Ste 150, Beverly Hills, CA 90212-4658 | 2008-07-01 |
| 1376719922 | J Michael Wiater Md,pc | Orthopaedic Surgery | 17877 W Fourteen Mile Rd, Beverly Hills, MI 48025 | 2008-05-05 |
| 1952597320 | Steven J Waltrip Md Inc | Orthopaedic Surgery | 465 N Roxbury Dr Ste 750, Beverly Hills, CA 90210-4210 | 2007-09-19 |
| 1801087804 | Tero John Walker | Orthopaedic Surgery | 3853 W Brazilnut Rd, Beverly Hills, FL 34465-3485 | 2007-08-05 |
| 1508986266 | Phillip Jay Kanter | Orthopaedic Surgery | 99 N La Cienega Blvd Ste 304, Beverly Hills, CA 90211-2286 | 2007-03-29 |
| 1588798144 | S.m. Rezaian | Orthopaedic Surgery | 8677 Wilshire Blvd, Beverly Hills, CA 90211 | 2007-03-15 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.