Active NPI
Omid Nassim MD Inc
- Family Medicine Physician
- Huntington Park, CA
National Provider Identifier
1235418864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OMID NASSIM MD INC
- Practice address
- 7136 Pacific Blvd
Suite 225
Huntington Park, CA 90255-4783 - Phone
- (323) 249-4949
- Fax
- (323) 584-8838
- NPI assigned
- Aug 13, 2011
- Last updated
- Sep 1, 2011
- 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
- Omid Nassim, M.D.
- Title
- Owner/President
- Phone
- (323) 249-4949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
7136 Pacific Blvd
Suite 225
Huntington Park, CA 90255-4783
Mailing address
7136 Pacific Blvd
Suite 220
Huntington Park, CA 90255-4783
Phone (323) 588-5467
National Provider Directory
National Provider DirectoryLocations
18607 Ventura Blvd
Ste 101
Tarzana, CA 91356
Phone (818) 344-5586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1235418864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 PACIFIC BLVD",
"address_2": "SUITE 220",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554783",
"telephone_number": "323-588-5467",
"fax_number": "323-589-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 PACIFIC BLVD",
"address_2": "SUITE 225",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554783",
"telephone_number": "323-249-4949",
"fax_number": "323-584-8838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMID NASSIM MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-13",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "NASSIM",
"authorized_official_first_name": "OMID",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "323-249-4949",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.