M Ganjianpour, M.D. a Professional Corporation
A Medicare group practice based in Los Angeles, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577769058), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3577769058
- Provider type
- DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110608000477 | CA | Part B Supplier - Clinic/Group Practice | 1770806184 |
| O20100930016896 | CA | DME Supplier - Physician - General Practice | 1770806184 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
M Ganjianpour, M.D. a Professional Corporation
- Specialist
- Los Angeles, CA
- NPI 1770806184
-
Mark Ganjianpour, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
- NPI 1447229570
Practice locations
- Los Angeles, CA2
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Mark Ganjianpour, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Los Angeles, CA
- NPI 1447229570
-
Alicia Marie Muccigrosso, PA-C
- Physician Assistant
- Los Angeles, CA
- NPI 1538472162
-
Matthew Stodolsky, P.T.
- Physical Therapist
- Los Angeles, CA
- NPI 1699788091
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.