Advance Bariatric Center, Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A81554 Issued in CA

Legal business name

ADVANCE BARIATRIC CENTER, MEDICAL CORPORATION

Practice address

301 N Avalon Blvd
Wilmington, CA 90744-5801

Phone

(310) 684-4070

Fax

(310) 684-4077

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Houshmand Joseph Naim, M.D., F.A.C.S.NPI 1063591519

Title

President / Medical Director

Phone

(310) 684-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Houshmand Joseph Naim, M.D.

  • Specialist
  • Wilmington, CA
  • NPI 1063591519

  CA, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Carolyn Lee Taylor, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Los Angeles, CA
  • NPI 1851604771

  CA

  Medicare reassignment Care Compare group
• Ramtin T. Massoudi, M.D.

  • Family Medicine Physician
  • Encino, CA
  • NPI 1538384797
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1194925792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445801",
            "telephone_number": "310-684-4070",
            "fax_number": "310-684-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445801",
            "telephone_number": "310-684-4070",
            "fax_number": "310-684-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE BARIATRIC CENTER, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "HOUSHMAND",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-684-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A81554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A815540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle D. Ababa, MD
• Andrea C Adams, CAS-RAS
• Christopher Ray Adams, D.C.
• Dorcas Adeyosola Adeoye Showole, R.N.
• Aegis Treatment Centers, LLC
• Aegis Treatment Centers, LLC
• Agile Occupational Medicine, PC
• Yemi Kayode Akinwole, DNP
• Alfa Farmacia

• All providers in Wilmington, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.