Organization Active NPI

M Pakour MD Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1275030009
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A76745 Issued in CA
Legal business name
M PAKOUR MD INC
Practice address
3671 W 6TH St Ste B
Los Angeles, CA 90020-3026
Phone
(213) 375-7511
Fax
(213) 375-7232
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Meada Pakour, M.D.NPI 1326004078
Title
President
Phone
(818) 913-0738

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X A76745 CA
Primary Care Clinic/Center 261QP2300X A76745 CA Primary

Addresses

Primary practice location

3671 W 6TH St Ste B
Los Angeles, CA 90020-3026

Mailing address

3671 W 6TH St Ste B
Los Angeles, CA 90020-3026
Phone (213) 375-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523002696 CA Part B Supplier - Clinic/Group Practice 1153686035 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3671 W 6th St
Ste B
Los Angeles, CA 90020
Phone (213) 375-7511

Practitioners & affiliated clinicians

Practitioners 1

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": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1275030009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 W 6TH ST STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203026",
            "telephone_number": "213-375-7511",
            "fax_number": "213-375-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 W 6TH ST STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203026",
            "telephone_number": "213-375-7511",
            "fax_number": "213-375-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PAKOUR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "PAKOUR",
        "authorized_official_first_name": "MEADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-913-0738",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A76745",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A76745",
            "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 Apr 9, 2018; 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.