Organization Active NPI

Pejman D Shamekh, M.D., Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1265672794
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A85239 Issued in CA
Legal business name
PEJMAN D SHAMEKH, M.D., INC
Practice address
2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015
Phone
(310) 788-0074
Fax
(310) 277-3659
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Pejman David Shamekh, M.D.
Title
President
Phone
(310) 279-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A85239 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 1207
Los Angeles, CA 90067-2015

Mailing address

PO Box 6033
Beverly Hills, CA 90212-1033
Phone (310) 788-0074

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": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1265672794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6033",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121033",
            "telephone_number": "310-788-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "310-788-0074",
            "fax_number": "310-277-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEJMAN D SHAMEKH, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SHAMEKH",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-279-9328",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85239",
            "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 Feb 2, 2012; 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.