Organization Active NPI

Anil Mohin MD, Facc a Professional Medical Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1093767105
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A40506 Issued in CA
Legal business name
ANIL MOHIN MD, FACC A PROFESSIONAL MEDICAL CORPORATION
Practice address
745 South Alvarado Street
Los Angeles, CA 90057-4021
Phone
(213) 252-2225
Fax
(213) 252-2244
NPI assigned
May 17, 2006
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Anil Mohin, M.D.
Title
President/Ceo
Phone
(213) 252-2225

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A40506 CA Primary
Gastroenterology Physician 207RG0100X G10040 CA
Obstetrics & Gynecology Physician 207V00000X 00A444940 CA
Ophthalmology Physician 207W00000X G45111 CA
Urology Physician 208800000X G81239 CA
General Practice Physician 208D00000X A66159 CA
Podiatrist 213E00000X E4013 CA

Addresses

Primary practice location

745 South Alvarado Street
Los Angeles, CA 90057-4021

Mailing address

745 South Alvarado Street
Los Angeles, CA 90057-4021
Phone (213) 252-2225

Other identifiers 2

IdentifierTypeStateIssuer
00E46090MedicaidCA
ZZZ66511ZOtherCABLUE SHIELD GROUP PIN

Other names 1

  • CLINICA MEDICA ALVARADO Other name

National Provider Directory

National Provider Directory

Locations

2677 Zoe Ave
Ste 108
Huntington Park, CA 90255
Phone (323) 588-1221

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1093767105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 SOUTH ALVARADO STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574021",
            "telephone_number": "213-252-2225",
            "fax_number": "213-252-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SOUTH ALVARADO STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574021",
            "telephone_number": "213-252-2225",
            "fax_number": "213-252-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL MOHIN MD, FACC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "MOHIN",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-252-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A40506",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G10040",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00A444940",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45111",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G81239",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A66159",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E46090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP PIN",
            "identifier": "ZZZ66511Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICA ALVARADO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 7, 2008; 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.