Organization Active NPI

Omid Nassim MD Inc

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1235418864
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.