Roland S Beverly Iii (NPI# 1083687776, PAC ID# 0345139739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1083687776 |
| PAC ID by PECOS | 0345139739 |
| Professional Enrollment ID | I20081201000667 |
| Full Name | Roland S Beverly Iii |
| Organization Legal Name | J ROBERT WEST MD INC |
| Address |
24541 Pacific Park Dr Suite 103 Aliso Viejo CA 92656-3050 |
| Phone Number | 9498313057 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8729990973 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3050 | 9498313057 | J ROBERT WEST MD INC |
| Organization Legal Name | J ROBERT WEST MD INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliette Vu Hoang | Nurse Practitioner | J Robert West Md Inc | 630 S Rancho Dr E, Lv Skin and Cancer Clncs, Las Vegas, NV 89106-4873 |
| Mahsa Karavan Jahromi | Dermatology | J Robert West Md Inc | 22032 El Paseo, Suite 220, Rancho Santa Margarita, CA 92688-3947 |
| Jennifer Peterson | Dermatology | J Robert West Md Inc | 2650 N Tenaya Way St, 208 Lv Skin and Cancer Clncs, Las Vegas, NV 89128-1104 |
| Amandeep Singh Sandhu | Dermatology | J Robert West Md Inc | 1457 Ford St, Suite 105, Redlands, CA 92373-3906 |
| Heather T Patz | Physician Assistant | J Robert West Md Inc | 880 Seven Hills Dr St, 260 Lv Skin and Cancer Clncs, Henderson, NV 89052-4373 |
| Brittny Call Ahrendes | Physician Assistant | J Robert West Md Inc | 1250 S Buffalo Dr, Suite 170, Las Vegas, NV 89117-8329 |
| Susun Michaels | Dermatology | J Robert West Md Inc | 8205 Warm Springs Rd St, 190 Lv Skin and Cancer Clncs, Las Vegas, NV 89113-3645 |
| Lorrie J Klein | Dermatology | J Robert West Md Inc | 30201 Golden Lantern, Suite B, Laguna Niguel, CA 92677-5926 |
| Terry L Davis | Physician Assistant | J Robert West Md Inc | 4488 S Pecos Rd, Las Vegas Skin and Cancer Clinics, Las Vegas, NV 89121-5030 |
| Ronald D Shiell | Dermatology | J Robert West Md Inc | 525 Plaza Dr, Suite 200, Santa Maria, CA 93454-6954 |
| Street Address |
24541 PACIFIC PARK DR SUITE 103 |
| City | ALISO VIEJO |
| State | CA |
| Zip | 92656-3050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon H Grannis | Chiropractic | Gordon H Grannis, D.c., A Chiropractic Professional Corporation | 24541 Pacific Park Dr, Suite 290, Aliso Viejo, CA 92656-3058 |
| Ernest B Robinson | Otolaryngology | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3050 | |
| Alisa Wang | Physician Assistant | J Robert West Md Inc | 24541 Pacific Park Dr, Suite 103, Aliso Viejo, CA 92656-3050 |
| Kenneth Hoang | Chiropractic | Gordon H Grannis, D.c., A Chiropractic Professional Corporation | 24541 Pacific Park Dr, Suite 290, Aliso Viejo, CA 92656-3058 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna B Farris | Clinical Social Worker | 102 Nightingale Dr, Aliso Viejo, CA 92656-1711 | |
| Surinder Brar | Physical Therapy | 26701 Quail Crk, Apt 263, Laguna Hills, CA 92656-3006 | |
| Terrence Neal Taylor | Psychiatry | County of Orange | 5 Mareblu, Aliso Viejo, CA 92656-3014 |
| Usha Sannidhi Venkata | Psychiatry | County of Orange | 5 Mareblu, Suite 100, Aliso Viejo, CA 92656-3014 |
| Nabi Ghulam Latif | Psychiatry | County of Orange | 5 Mareblu, Suite 200, Aliso Viejo, CA 92656-3014 |
| Adee Cohen | Clinical Social Worker | County of Orange | 5 Mareblu, Aliso Viejo, CA 92656-3014 |
| Michelle Nicole Menke | Clinical Social Worker | County of Orange | 5 Mareblu, Suite 200, Aliso Viejo, CA 92656-3014 |
| Thomas M Ludema | Neurology | 15 Mareblu, Suite 250, Aliso Viejo, CA 92656-3015 | |
| Veronica C Harrison | Family Medicine | Southern California Permanente Medical Group | 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 |
| Peter J Kim | Family Medicine | Southern California Permanente Medical Group | 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 |
| Find all physicians in zip 92656 | |||
| City | ALISO VIEJO |
| Zip Code | 92656 |
| Specialty | DERMATOLOGY |
| City + Specialty | ALISO VIEJO + DERMATOLOGY |
Please comment or provide details below to improve the information on Roland S Beverly Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.