Active NPI
Saint Mary Ped Neurog Med
- Neurological Surgery Physician
- Los Angeles, CA
National Provider Identifier
1023281037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A836041
- Legal business name
- SAINT MARY PED NEUROG MED
- Practice address
- 6200 Wilshire Blvd Suite 1708
Los Angeles, CA 90048-5818 - Phone
- (323) 939-0008
- NPI assigned
- Apr 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raafat Iskander, MD
- Title
- Medical Director
- Phone
- (323) 939-0008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A836040 | CA | |
| Neurological Surgery Physician | 207T00000X | A836041 | CA | Primary |
Addresses
Primary practice location
6200 Wilshire Blvd Suite 1708
Los Angeles, CA 90048-5818
Mailing address
6200 Wilshire Blvd Suite 1708
Los Angeles, CA 90048-5818
Phone (323) 939-0008
National Provider Directory
National Provider Directory- Tax ID family
- Saint Mary Ped Neurog Med
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Los Angeles, CA
- NPI 1871677377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1023281037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD SUITE 1708",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485818",
"telephone_number": "323-939-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD SUITE 1708",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485818",
"telephone_number": "323-939-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT MARY PED NEUROG MED",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "ISKANDER",
"authorized_official_first_name": "RAAFAT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "323-939-0008",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A836040",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A836041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Maureen Saint Georges Chaumet, M.D.
- Nyka Marie Saint Jean, APRN
- James David Saint John, MD
- Saint Mariam Home Health Care
- Manuel Leonardo Saint Martin, MD
- Saint Mary Pediatric Neurology Medical Clinic, Inc
- Jessica Dominique Saint-Paul, PA
- Ryushi T. Saisho, MD
- Jessica Elena Saisi, M.S., CCC-SLP
- Ashley Saito
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.