Organization Active NPI

Adel Ghattas Family Practice Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1063774271
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A32665 Issued in CA
Legal business name
ADEL GHATTAS FAMILY PRACTICE INC
Practice address
1711 W Temple St
Suite 3661
Los Angeles, CA 90026-5421
Phone
(213) 989-0700
Fax
(213) 989-0703
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Adel Shafik Ghattas, MD
Title
President
Phone
(213) 989-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A32665 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 3661
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St
Suite 3661
Los Angeles, CA 90026-5421
Phone (213) 989-0700

Other identifiers 1

IdentifierTypeStateIssuer
A32665OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1711 W Temple St
Ste 3661
Los Angeles, CA 90026
Phone (213) 989-0700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1063774271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3661",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-0700",
            "fax_number": "213-989-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3661",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-0700",
            "fax_number": "213-989-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL GHATTAS FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "SHAFIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-989-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A32665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A32665",
            "state": "CA"
        }
    ],
    "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 Jun 13, 2012; 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.