Active NPI
Stellar Health Medical Group Inc
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1285823914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A65599
- Legal business name
- STELLAR HEALTH MEDICAL GROUP INC
- Practice address
- 7258 W Sunset Blvd
Los Angeles, CA 90046-3410 - Phone
- (323) 654-7716
- Fax
- (323) 654-7771
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stella Popova, M.D.
- Title
- Director/President
- Phone
- (323) 654-7716
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A65599 | CA | Primary |
Addresses
Primary practice location
7258 W Sunset Blvd
Los Angeles, CA 90046-3410
Mailing address
7258 W Sunset Blvd
Los Angeles, CA 90046-3410
Phone (323) 654-7716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Los Angeles, CA
- NPI 1023108925
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378512000000",
"number": "1285823914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7258 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463410",
"telephone_number": "323-654-7716",
"fax_number": "323-654-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7258 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463410",
"telephone_number": "323-654-7716",
"fax_number": "323-654-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLAR HEALTH MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2013-09-07",
"status": "A",
"authorized_official_last_name": "POPOVA",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
"authorized_official_telephone_number": "323-654-7716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A65599",
"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 Sep 7, 2013; 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.