Healthylife MG Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHYLIFE MG CORP

Doing business as

St Gianna Medical Group

Practice address

245 Berkshire Ave
La Canada, CA 91011-4017

Phone

(818) 361-5437

NPI assigned

Feb 14, 2024

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monessa Azad

Title

Credentialing

Phone

(818) 361-5437

Specialties & licenses 1

Addresses

Other names 1

• St Gianna Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Behroozan, M.D.

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1750440681
  Medicare reassignment NPD
• Janesri W De Silva, M.D.

  • Pediatrics Physician
  • Mission Hills, CA
  • NPI 1568502953
  Medicare reassignment NPD
• Faiza Iram, MD

  • Pediatrics Physician
  • Bloomington, CA
  • NPI 1063773141
  Medicare reassignment NPD
• Sonal Ramesh Patel, MD

  • Allergy & Immunology Physician
  • Pasadena, CA
  • NPI 1346376894
  Medicare reassignment NPD
• Yussef Sakhai, MD

  • Pediatrics Physician
  • Culver City, CA
  • NPI 1518992015
  Medicare reassignment NPD
• Vaseema Sultana Arastu, MD

  • Pediatrics Physician
  • La Mirada, CA
  • NPI 1104941616
  NPD (past)
• Jasmine Ahdout Berookim, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1982049052
  NPD (past)
• Cecilio V. Cay, NP

  • Gerontology Nurse Practitioner
  • Duarte, CA
  • NPI 1558675330
  NPD (past)
• Jenifer Chungafung, MD

  • Family Medicine Physician
  • Hacienda HTS, CA
  • NPI 1376684985
  NPD (past)
• Mario Cuevas, PAC

  • Physician Assistant
  • Duarte, CA
  • NPI 1881763639
  NPD (past)
• Oscar A Escobar, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1477670750
  NPD (past)
• Nicole Fiss

  • Medical Physician Assistant
  • Pasadena, CA
  • NPI 1265905236
  NPD (past)

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1184489684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BERKSHIRE AVE",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910114017",
            "telephone_number": "818-361-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BERKSHIRE AVE",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910114017",
            "telephone_number": "818-361-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYLIFE MG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "MONESSA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "818-361-5437"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Gianna Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eli William Hallak, ATC
• Farhad Hamidi, DC
• Christine Hanna, M.D.
• Clifford Thomas Hartman Jr., M.D.
• Hillary Lynne Haynes, MFT
• Sokunthear Hem, LAC.
• Christopher John Henry, REGISTERED NURSE
• Brandon Ho, DDS
• Kenneth Chiang Ho, DDS
• John Arthur Honch, M.D.

• Family Medicine Physician in La Canada, CA
• Providers in La Canada, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.