Ali John Enayati MD MPH Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALI JOHN ENAYATI MD MPH PROFESSIONAL MEDICAL CORPORATION

Doing business as

Century Wellness Center

Practice address

2080 Century Park E Ste 1806
Los Angeles, CA 90067-2021

Phone

(310) 551-1711

Fax

(310) 551-1311

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Lizanne Elaine Webb

Title

Administrator

Phone

(646) 298-6422

Specialties & licenses 1

Addresses

Other names 2

• Century Wellness Center Doing business as
• Ali John Enayati MD MPH, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali John Enayati, M.D., M.P.H.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043269194
  Medicare reassignment
• Jason B Wolfe, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1184172314
  Medicare reassignment

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1124214150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672009",
            "telephone_number": "310-551-1711",
            "fax_number": "310-551-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672021",
            "telephone_number": "310-551-1711",
            "fax_number": "310-551-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI JOHN ENAYATI MD MPH PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "LIZANNE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-298-6422"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ali John Enayati MD MPH, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ali John Enayati MD MPH, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Omar Salem M Alharbi, M.D.
• Khalid Alhezaimi, BDS
• Amir Alhoroub
• Ramsey Alhosri, MD
• Ali Esfahani DDS Inc.
• Ali Khosrovani DDS Inc
• Ali Mahtabifard M D Inc
• Ali Manoochehrian, M.D., Inc.
• Ali Optimal Wellness
• Ali Sabbaghi, M.D., Inc.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.