Organization Active NPI

Iskander Medical Group, Inc.

  • Pediatrics Physician
  • Hawthorne, CA
National Provider Identifier
1245420199
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A39011 Issued in CA
Legal business name
ISKANDER MEDICAL GROUP, INC.
Practice address
4477 W 118TH St Ste 301
Hawthorne, CA 90250-2258
Phone
(310) 978-8026
Fax
(310) 978-1408
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mona Youssef Iskander, MDNPI 1679580880
Title
President
Phone
(310) 978-8026

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A39011 CA Primary

Addresses

Primary practice location

4477 W 118TH St Ste 301
Hawthorne, CA 90250-2258

Mailing address

4477 W 118TH St Ste 301
Hawthorne, CA 90250-2258
Phone (310) 978-8026

Other identifiers 4

IdentifierTypeStateIssuer
00A390110OtherCABLUE SHIELD OF CALIFORNIA
00A390110OtherCACCS
1679580880OtherCAINDIVIDUAL NPI NUMBER
00A390110OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1245420199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 301",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502258",
            "telephone_number": "310-978-8026",
            "fax_number": "310-978-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 301",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502258",
            "telephone_number": "310-978-8026",
            "fax_number": "310-978-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISKANDER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "ISKANDER",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "YOUSSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-978-8026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A390110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "00A390110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1679580880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A390110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.