Organization Active NPI

Zangiabadi MD, a Professional Medical Corporation

  • Neurology Physician
  • Lynwood, CA
National Provider Identifier
1043718992
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Amirhossein Zangiabadi, MDNPI 1326294562
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20180214001821 CA Part B Supplier - Clinic/Group Practice 4587924451 Receives reassigned benefits from 1 practitioner
Practice locations: Lynwood, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.