Mount Sinai Surgery Group, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOUNT SINAI SURGERY GROUP, INC

Doing business as

Mount Sinai Medical Group

Practice address

18425 Burbank Blvd
Suite 102
Tarzana, CA 91356-2806

Phone

(818) 342-2696

Fax

(818) 343-1677

NPI assigned

Apr 25, 2012

Last updated

May 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hooman Shabatian, M.D.

Title

Owner

Phone

(818) 342-2696

Specialties & licenses 1

Addresses

Other names 1

• Mount Sinai Medical Group Doing business as

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1275891467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-342-2696",
            "fax_number": "818-343-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-342-2696",
            "fax_number": "818-343-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI SURGERY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "SHABATIAN",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-342-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Sinai Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Babak Morvarid, M.D.
• Kateryna Moskalenko, FNP
• Amy McCall Moss
• Philip Michael Mottola, DDS
• Mount Sinai Surgery Center LLC
• Mountain View Treatment Center LLC
• Karine Ekmekji Mouradian, MD
• Monica Moussanejad, DDS
• Mina Moussavian-Assadi, M.D.
• Bakhtiar Moussazadeh, MD

• Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.