Expresscare Medical Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G53276 Issued in CA

Legal business name

EXPRESSCARE MEDICAL CLINIC INC

Practice address

8930 S Sepulveda Blvd
Suite 200
Los Angeles, CA 90045-3606

Phone

(310) 641-8111

Fax

(310) 337-7274

NPI assigned

Feb 15, 2008

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samir Shahin, MDNPI 1912010844

Title

Medical Director

Phone

(310) 641-8111

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Samir Shahin, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1912010844
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Goodell, MPT

  • Physical Therapist
  • Playa del Rey, CA
  • NPI 1720127152
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1144498890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-641-8111",
            "fax_number": "310-337-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-641-8111",
            "fax_number": "310-337-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSCARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "SHAHIN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-641-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G53276",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G53276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expert Interpreting, LLC
• Express Medical Products Inc
• Express Pharmacy Services Inc
• Express RX Inc (Express RX)
• Expressable Speech Therapy PC
• Exspress Medical Supply, Inc.
• Andrew Extein
• Extera Public Schools
• Extraordinary Options
• Eye Geeks Doctors of Optometry

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.