Allure Medical Group a Professional Corporation
Organization Active NPI Hospitalist Physician · Simi Valley, CA
NPI 1154865640 · NPPES record last updated Dec 28, 2016
Key facts
- NPI
- 1154865640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- ALLURE MEDICAL GROUP A PROFESSIONAL CORPORATION
- Practice address
- 2975 Sycamore Dr
Simi Valley, CA 93065-1201 - Phone
- (805) 955-6000
- NPI assigned
- Dec 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Pedram Bagheri, MD
- Title
- Vice President
- Phone
- (805) 822-4517
Practitioners 22
-
Jessica Marie Adkins, M.D.
-
Pedram Bagheri, MD
-
Tony Makhlouf, MD
-
Masih Sadeghi, M.D.
-
Sanjay Manish Bhartia, M.D.
-
Jasbir Singh Tiwana, M.D
-
Pejman Badiei, M.D.
-
Asra Farooqui, MD
-
Robert Kevin Hanson, M.D.
-
Smita Dinesh Mandal, M.D.
-
Mehdi Manzari, M.D.
-
Virginia Perez Andreu, MD PHD
-
Siamac Alexander Salehy, M.D.
-
Maneesh Singhal, M.D.
-
Cameron Zadeh, MD
-
Rashita Aggarwal, M.D.
-
Pedram Babadi, M.D.
-
Nuzhat Fatima, M.D.
-
Mason Devon, P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170113002101 | CA | Part B Supplier - Clinic/Group Practice | 7012299605 |
Receives reassigned benefits from 22 practitioners Practice locations: Thousand Oaks, CA; Simi Valley, CA |
National Provider Directory
Locations
501 S Reino Rd
Ste 200
Newbury Park, CA 91320
501 S Reino Rd
#200
Newbury Park, CA 91320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Mailing address
501 S Reino Rd
200
Newbury Park, CA 91320-4269
Other providers in Simi Valley, CA
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- Allstate Medical Equipment, Inc.
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- Cheryl Alonzo
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All providers in Simi Valley, CA · Hospitalist Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.