Organization Active NPI

Premier Medical Group. Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Santa Monica, CA
National Provider Identifier
1003254061
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A112838 Issued in CA
Legal business name
PREMIER MEDICAL GROUP. INC
Practice address
2336 Santa Monica Blvd
Suite 304
Santa Monica, CA 90404-2095
Phone
(310) 420-9191
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nazanin Parsaei, MD
Title
Owner
Phone
(310) 845-5542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X A112838 CA Primary

Addresses

Primary practice location

2336 Santa Monica Blvd
Suite 304
Santa Monica, CA 90404-2095

Mailing address

2336 Santa Monica Blvd
Suite 304
Santa Monica, CA 90404-2095
Phone (310) 420-9191

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1003254061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "SUITE 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-420-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "SUITE 304",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-420-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL GROUP. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "PARSAEI",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-845-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A112838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.