Organization Active NPI

Premier Point Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1023595170
Registry record updated Jul 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9095 Issued in CA
Legal business name
PREMIER POINT MEDICAL GROUP
Practice address
11819 Wilshire Blvd Ste 208
Los Angeles, CA 90025-6631
Phone
(714) 507-8600
Fax
(310) 478-5850
NPI assigned
Jul 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2018

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

Authorized official

Name
Dr. Mohsen Badri, MD, DO, MPHNPI 1669570495
Title
Chief Medical Officer
Phone
(310) 497-1024

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20A9095 CA Primary

Addresses

Primary practice location

11819 Wilshire Blvd Ste 208
Los Angeles, CA 90025-6631

Mailing address

11819 Wilshire Blvd Ste 208
Los Angeles, CA 90025-6631
Phone (714) 507-8600

National Provider Directory

National Provider Directory

Locations

11819 Wilshire Blvd
Ste 208
Los Angeles, CA 90025
Phone (310) 914-9246

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": "1532217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532217600000",
    "number": "1023595170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "714-507-8600",
            "fax_number": "310-478-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "714-507-8600",
            "fax_number": "310-478-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER POINT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A",
        "authorized_official_last_name": "BADRI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "310-497-1024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DO, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.