Organization Active NPI

Leading Medical Group Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • West Hills, CA
National Provider Identifier
1275992711
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
LEADING MEDICAL GROUP INC.
Practice address
22110 Roscoe Blvd
Suite 304
West Hills, CA 91304-3845
Phone
(818) 703-1511
Fax
(818) 703-9911
NPI assigned
Feb 11, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mani Shokoufandeh, DC
Title
President
Phone
(818) 703-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X Primary

Addresses

Primary practice location

22110 Roscoe Blvd
Suite 304
West Hills, CA 91304-3845

Mailing address

22110 Roscoe Blvd
Suite 304
West Hills, CA 91304-3845
Phone (818) 703-1511

Other practice location 1

15216 Vanowen St Ste 2D
Van Nuys, CA 91405-3673
Phone (818) 703-1511

National Provider Directory

National Provider Directory

Locations

22110 Roscoe Blvd
Ste 304
West Hills, CA 91304
Phone (818) 626-6482

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275992711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-703-1511",
            "fax_number": "818-703-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043845",
            "telephone_number": "818-703-1511",
            "fax_number": "818-703-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15216 Vanowen St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053673",
            "country_code": "US",
            "telephone_number": "818-703-1511",
            "fax_number": "818-703-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEADING MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOKOUFANDEH",
        "authorized_official_first_name": "MANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-703-1511",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.