Aeg Medical Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AEG MEDICAL INC

Practice address

1626 Montana Ave Ste 629
Santa Monica, CA 90403-1808

Phone

(310) 974-8767

NPI assigned

Sep 18, 2025

Organization subpart

No

Name

Ali Golshan, MDNPI 1114183993

Title

Owner

Phone

(916) 342-6460

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

• Ali Golshan, M.D.

  • Vascular & Interventional Radiology Physician
  • Cypress, CA
  • NPI 1114183993

  CA

  Medicare reassignment NPD Authorized official
• Carl Virgil Belan Lazaro, PA-C

  • Physician Assistant
  • Long Beach, CA
  • NPI 1700642311
  NPD (past)
• William M Truong, FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1932072097
  NPD (past)
• Matthew Butler, PA

  • Physician Assistant
  • Kearney, NE
  • NPI 1689075897
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2025.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1154293447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MONTANA AVE STE 629",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MONTANA AVE STE 629",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031808",
            "telephone_number": "310-974-8767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Old Eureka Way Ste 2H",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010228",
            "country_code": "US",
            "telephone_number": "310-974-8767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AEG MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GOLSHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-342-6460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Santa Monica, CA
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.