NPIMap

Organization Active NPI

Michael F Sedrak MD a Medical Corporation

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1053783258
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A82582 Issued in CA
Legal business name
MICHAEL F SEDRAK MD A MEDICAL CORPORATION
Practice address
10336 Wilshire Blvd Apt 602
Los Angeles, CA 90024-4754
Phone
(310) 728-0494
Fax
(619) 209-7888
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Michael Fayez SedrakNPI 1750464111
Title
Owner
Phone
(951) 479-8994

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A82582 CA Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

10336 Wilshire Blvd Apt 602
Los Angeles, CA 90024-4754

Mailing address

1902 Fullerton Ave Ste 101
Corona, CA 92881-3112
Phone (951) 479-8994

Other practice location 1

1902 Fulleton Ave 101
Corona, CA 92881
Phone (951) 479-8994

Other practice location 2

1030 S Mount Vernon Ave # 200
Colton, CA 92324-4205
Phone (951) 444-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151117000808 CA Part B Supplier - Clinic/Group Practice 1658681994 Receives reassigned benefits from 7 practitioners
Practice locations: Corona, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1053783258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FULLERTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813112",
            "telephone_number": "951-479-8994",
            "fax_number": "619-209-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10336 WILSHIRE BLVD APT 602",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244754",
            "telephone_number": "310-728-0494",
            "fax_number": "619-209-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Fulleton Ave 101",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "92881",
            "country_code": "US",
            "telephone_number": "951-479-8994",
            "fax_number": "619-209-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 S Mount Vernon Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923244205",
            "country_code": "US",
            "telephone_number": "951-444-8444",
            "fax_number": "909-219-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL F SEDRAK MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FAYEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-479-8994"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82582",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 4, 2026; 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.