NPIMap

Organization Active NPI

Clinica de Los Angeles Medical Group

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1184754996
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A54524 Issued in CA
Legal business name
CLINICA DE LOS ANGELES MEDICAL GROUP
Practice address
4301 S Figueroa St Ste F
Los Angeles, CA 90037-2671
Phone
(323) 231-7700
Fax
(323) 231-0799
NPI assigned
Mar 7, 2007
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mohamad Yaghi, M.D.NPI 1720089147
Title
Owner
Phone
(323) 231-7700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A54524 CA Primary

Addresses

Primary practice location

4301 S Figueroa St Ste F
Los Angeles, CA 90037-2671

Mailing address

4301 S Figueroa St Ste F
Los Angeles, CA 90037-2671
Phone (323) 231-7700

Other names 1

  • MOHAMAD YAGHI Other name

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
05D1005465Clinica de Los Angeles Medical Group4301 Figueroa Street, #F, Los Angeles, CA 90037Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Los Angeles Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4301 S Figueroa St
Ste F
Los Angeles, CA 90037
Phone (323) 231-7700

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1184754996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S FIGUEROA ST STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372671",
            "telephone_number": "323-231-7700",
            "fax_number": "323-231-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S FIGUEROA ST STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372671",
            "telephone_number": "323-231-7700",
            "fax_number": "323-231-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LOS ANGELES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "YAGHI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-231-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A54524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOHAMAD YAGHI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.