Active NPI
Newport Enterprise PC
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1205799871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEWPORT ENTERPRISE PC
- Practice address
- 6221 Wilshire Blvd Ste 617
Los Angeles, CA 90048-5215 - Phone
- (310) 914-9150
- Fax
- (310) 091-4970
- NPI assigned
- Dec 9, 2025
- Last updated
- Dec 9, 2025
- 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
- Ms. Shahla Hendifar, ECT
- Title
- Biller
- Phone
- (310) 914-9150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6221 Wilshire Blvd Ste 617
Los Angeles, CA 90048-5215
Mailing address
6221 Wilshire Blvd Ste 617
Los Angeles, CA 90048-5215
Phone (310) 914-9150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6221 Wilshire Blvd
Ste 617
Los Angeles, CA 90048
Phone (323) 651-0405
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1275640336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1205799871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD STE 617",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485215",
"telephone_number": "310-914-9150",
"fax_number": "310-091-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD STE 617",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485215",
"telephone_number": "310-914-9150",
"fax_number": "310-091-4970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT ENTERPRISE PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "HENDIFAR",
"authorized_official_first_name": "SHAHLA",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "310-914-9150",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ECT"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 9, 2025; 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.