St John Bosco High School

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ST JOHN BOSCO HIGH SCHOOL

Practice address

13640 Bellflower Blvd
Bellflower, CA 90706-2408

Phone

(562) 920-1734

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Melody Mohebbi

Title

Admistrator

Phone

(562) 920-1734

Specialties & licenses 1

Addresses

Other names 1

• SJB Sports Medicine Doing business as

Locations

Practitioners 1

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

• Melody Barjasteh Mohebbi, ATHLETIC TRAINER

  • Kinesiotherapist
  • Bellflower, CA
  • NPI 1235743550
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1154920684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062408",
            "telephone_number": "562-920-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN BOSCO HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "MOHEBBI",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "562-920-1734"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJB Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Bassell Sprawls
• Chintana Sribundit
• Konanur Srinatha, MD
• Amanda Heim Srisathapat, LAC
• Suzanne Ssentongo
• St Jude Cares LLC
• Stand-Rite MFG. Co.
• Katina Stanford, R.N.
• Star View Behavioral Health Inc.
• Sonja Michelle Starks, OTRL

• Orthopaedic Surgery Physician in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.