Organization Active NPI

Cenigent Health Enhancement Medical Institute, a Medical Corporation

  • Primary Care Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1194057901
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A063230 Issued in CA
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

Updated by the provider on Feb 3, 2010

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)CodeLicenseStatePrimary
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. Other name

National Provider Directory

National Provider Directory

NPI 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"
        }
    ]
}

Other providers in Santa Monica, CA

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.

Verify at the official NPI Registry.