Organization Active NPI

Sequoia Quality Health Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1164061461
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SEQUOIA QUALITY HEALTH INC
Practice address
2007 Wilshire Blvd FL 3
Los Angeles, CA 90057-3519
Phone
(818) 300-8993
Fax
(800) 545-0866
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Dr. Benjamin Bijan Pezeshki, MDNPI 1578099669
Title
Ceo
Phone
(213) 205-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2007 Wilshire Blvd FL 3
Los Angeles, CA 90057-3519

Mailing address

2011 Wilshire Blvd # 300
Los Angeles, CA 90057-3503
Phone (818) 300-8993

Other names 1

  • Sequoia Quality Health Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200323003351 CA Part B Supplier - Clinic/Group Practice 4183052210 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2190153Sequoia Quality Health Inc2007 Wilshire Blvd 3Rd Floor, Los Angeles, CA 90057Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

2011 Wilshire Blvd
#300
Los Angeles, CA 90057

2007 Wilshire Blvd
Fl 3
Los Angeles, CA 90057
Phone (213) 205-1890

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1164061461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 WILSHIRE BLVD # 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573503",
            "telephone_number": "818-300-8993",
            "fax_number": "800-545-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 WILSHIRE BLVD FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573519",
            "telephone_number": "818-300-8993",
            "fax_number": "800-545-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA QUALITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "PEZESHKI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "BIJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-205-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Quality Health Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sequoia Quality Health Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.