Organization Active NPI

Newport Enterprise PC

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1205799871
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260204001424 CA Part B Supplier - Clinic/Group Practice 8123506714 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.