Jamshid Maddahi, MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JAMSHID MADDAHI, MD, INC.

Practice address

50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143

Phone

(310) 824-4991

Fax

(310) 824-7082

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Angela Maddahi

Title

Office Manager

Phone

(310) 913-3425

Specialties & licenses 1

Addresses

Other names 1

• Los Angeles Cardiovascular Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jamshid Maddahi MD, Inc.

  • Specialist
  • Beverly Hills, CA
  • NPI 1790714426

  O20040716000819

  Same enrollment

Tax ID family

Jamshid Maddahi MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jamshid Maddahi MD, Inc.

  • Specialist
  • Beverly Hills, CA
  • NPI 1790714426
  NPD tax ID
• Jamshid Maddahi, MD, Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1720110349
  NPD tax ID

Locations

Practitioners 1

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

• Arash Bereliani, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1699722165
  NPD (past)

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1265700272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA #410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957064",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113143",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMSHID MADDAHI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "MADDAHI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-913-3425"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Cardiovascular Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.