Active NPI
Aghapy Medical Group, Inc
- General Practice Physician
- Walnut Park, CA
National Provider Identifier
1194960799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- AGHAPY MEDICAL GROUP, INC
- Practice address
- 2542 E. Florence Ave.
Suite B
Walnut Park, CA 90255-4774 - Phone
- (323) 584-8700
- Fax
- (323) 584-5472
- NPI assigned
- Dec 10, 2008
- 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
- Nagy Bebawy, M.D.
- Title
- Medical Director/Owner
- Phone
- (323) 584-8700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2542 E. Florence Ave.
Suite B
Walnut Park, CA 90255-4774
Mailing address
2542 E. Florence Ave.
Suite B
Walnut Park, CA 90255-4774
Phone (323) 584-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194960799 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Corona, CA
- NPI 1558434464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1194960799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 E. FLORENCE AVE.",
"address_2": "SUITE B",
"city": "WALNUT PARK",
"state": "CA",
"postal_code": "902554774",
"telephone_number": "323-584-8700",
"fax_number": "323-584-5472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2542 E. FLORENCE AVE.",
"address_2": "SUITE B",
"city": "WALNUT PARK",
"state": "CA",
"postal_code": "902554774",
"telephone_number": "323-584-8700",
"fax_number": "323-584-5472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGHAPY MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-10",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "BEBAWY",
"authorized_official_first_name": "NAGY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "323-584-8700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194960799",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.