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Deactivated NPI 1962556068 Deactivated / Inactive NPI Male Practitioner

Dr. David Fellows , MD

Surgery - Plastic and Reconstructive Surgery • Beverly Hills, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Fellows has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date July 20, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Fellows, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Beverly Hills, CA. Throughout an active medical career spanning 13 years, Dr. Fellows provided care at the practice location at 9001 WILSHIRE BLVD until profile deactivation on 2020-07-20.

Practice Location & Contact Primary Location

Practice Address

9001 Wilshire Blvd
Suite 106

Beverly Hills, CA 90210

Telephone 3102738885
Associated Practice Facility / Clinic
🏢 Woodlake Surgery Center Facility NPI 1922052133

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Beverly Hills, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Beverly Hills, CA (381 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License CA G83160

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1104084698

Doctor of Medicine (M.D.)

Dr. Michael Omidi , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1376697599

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 20, 2020

Record deactivated on July 20, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90210 (Tel: 3102738885)

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Updated Business Mailing Address July 08, 2007

Registered at 9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90210 (Tel: 3102738885)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID FELLOWS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #G83160 in CA)

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Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962556068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Deactivation Date: July 20, 2020

Mailing Address

9001 Wilshire Blvd, Suite 106

Beverly Hills, CA 90210

Phone: 3102738885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.