Active NPI
Zangiabadi MD, a Professional Medical Corporation
- Neurology Physician
- Lynwood, CA
National Provider Identifier
1043718992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ZANGIABADI MD, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 3630 East Imperial Hwy
Patient Tower Room #2120
Lynwood, CA 90262 - Phone
- (310) 900-8526
- NPI assigned
- Jan 25, 2018
- 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
- Amirhossein Zangiabadi, MD
- Title
- Owner
- Phone
- (714) 808-9797
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
3630 East Imperial Hwy
Patient Tower Room #2120
Lynwood, CA 90262
Mailing address
1601 N Sepulveda Blvd # 716
Manhattan Beach, CA 90266-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3630 E Imperial Hwy
Rm 2120
Lynwood, CA 90262
Phone (310) 900-8526
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Lynwood, CA
- NPI 1326294562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516838400000",
"number": "1043718992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N SEPULVEDA BLVD # 716",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902665111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 EAST IMPERIAL HWY",
"address_2": "PATIENT TOWER ROOM #2120",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "310-900-8526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZANGIABADI MD, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A",
"authorized_official_last_name": "ZANGIABADI",
"authorized_official_first_name": "AMIRHOSSEIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-808-9797",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.