Active NPI
Cenigent Health Enhancement Medical Institute, a Medical Corporation
- Primary Care Clinic/Center
- Santa Monica, CA
National Provider Identifier
1194057901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A063230
- Legal business name
- CENIGENT HEALTH ENHANCEMENT MEDICAL INSTITUTE, A MEDICAL CORPORATION
- Practice address
- 2222 Santa Monica Blvd
Suite 200
Santa Monica, CA 90404-2304 - Phone
- (310) 998-8600
- Fax
- (310) 998-8662
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lida Ghaderi, M.D.
- Title
- Medical Director
- Phone
- (310) 998-8600
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetics Clinic/Center | 261QG0250X | A063230 | CA | |
| Health Service Clinic/Center | 261QH0100X | A063230 | CA | |
| Medical Specialty Clinic/Center | 261QM2500X | A063230 | CA | |
| Primary Care Clinic/Center | 261QP2300X | A063230 | CA | Primary |
Addresses
Primary practice location
2222 Santa Monica Blvd
Suite 200
Santa Monica, CA 90404-2304
Mailing address
2222 Santa Monica Blvd
Suite 200
Santa Monica, CA 90404-2304
Phone (310) 998-8600
Other names 1
- CENIGENT Medical Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1194057901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SANTA MONICA BLVD",
"address_2": "SUITE 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042304",
"telephone_number": "310-998-8600",
"fax_number": "310-998-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 SANTA MONICA BLVD",
"address_2": "SUITE 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042304",
"telephone_number": "310-998-8600",
"fax_number": "310-998-8662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENIGENT HEALTH ENHANCEMENT MEDICAL INSTITUTE, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "GHADERI",
"authorized_official_first_name": "LIDA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-998-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QG0250X",
"taxonomy_group": "",
"desc": "Clinic/Center, Genetics",
"state": "CA",
"license": "A063230",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "A063230",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A063230",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A063230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CENIGENT Medical Inc.",
"code": "5",
"type": "Other Name"
}
]
}
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- Cedars-Sinai Medical Care Foundation
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- Olivia Ceja, DNP,MSN,PMHNP-BC,RN
- Cellcure Wound Solutions Inc
- Center for Acupuncture & Integrative Medicine Inc.
- Center for Facial Appearance, PC
- Center for Healthy Aging
- Cep America - California
- Joanna M Ceppi, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.