Mountain Group LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MOUNTAIN GROUP LLC

Practice address

931 Buena Vista St
Suite 103
Duarte, CA 91010-1712

Phone

(626) 531-6891

Fax

(626) 531-6890

NPI assigned

May 5, 2013

Organization subpart

No

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

Authorized official

Name

Juan Gonzalez, MANAGER

Title

General Manager

Phone

(818) 415-7254

Specialties & licenses 1

Addresses

Other names 1

• Restful Sleep Disorder Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Babak Hakimisefat, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Burbank, CA
  • NPI 1114189354
  NPD

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1144665100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 103",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-531-6891",
            "fax_number": "626-531-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 103",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-531-6891",
            "fax_number": "626-531-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-05",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "818-415-7254",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restful Sleep Disorder Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restful Sleep Disorder Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Mosier, M.D.
• Pejman Moshe Motarjem, M.D.
• Mother Margarita Surgery Center, Inc
• Maria Claudia Motta, NP
• Ying Moua, LCSW
• Ramya Reddy Muddasani, D.O.
• Lisa Mueller, MD
• Jeanie Kay Mungcal
• Alana Mary Munger, MD
• Margarita Munoz, PAC

• All providers in Duarte, CA
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.