Organization Active NPI

George Fouladian MD Inc a California Professional Corp

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1134467392
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
GEORGE FOULADIAN MD INC A CALIFORNIA PROFESSIONAL CORP
Practice address
5901 W Olympic Blvd
Suite 307
Los Angeles, CA 90036-4667
Phone
(323) 931-2020
Fax
(323) 931-2121
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
George Fouladian, MDNPI 1932204161
Title
President/Owner
Phone
(323) 931-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

5901 W Olympic Blvd
Suite 307
Los Angeles, CA 90036-4667

Mailing address

PO Box 15987
Beverly Hills, CA 90209-1987
Phone (323) 932-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130320000188 CA Part B Supplier - Clinic/Group Practice 9830334911 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
George Fouladian MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1134467392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15987",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902091987",
            "telephone_number": "323-932-2020",
            "fax_number": "323-931-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD",
            "address_2": "SUITE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364667",
            "telephone_number": "323-931-2020",
            "fax_number": "323-931-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE FOULADIAN MD INC A CALIFORNIA PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "FOULADIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "323-931-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 4, 2015; 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.