Organization Active NPI

Iraj Nazarian MD, Inc Medical Clinic

  • Point of Service
  • Huntington Park, CA
National Provider Identifier
1306041074
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
A43573 Issued in CA
Legal business name
IRAJ NAZARIAN MD, INC MEDICAL CLINIC
Practice address
7136 Pacific Blvd
Suite # 225
Huntington Park, CA 90255-4783
Phone
(310) 991-4950
Fax
(323) 249-0469
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Iraj Nazarian, MD
Title
Owner
Phone
(310) 991-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X A43573 CA Primary

Addresses

Primary practice location

7136 Pacific Blvd
Suite # 225
Huntington Park, CA 90255-4783

Mailing address

641 North Doheny Drive
Beverly Hills, CA 90210
Phone (310) 991-4950

Other identifiers 1

IdentifierTypeStateIssuer
A43573OtherCALICENSE NUMBER

National Provider Directory

National Provider Directory

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306041074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 NORTH DOHENY DRIVE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-991-4950",
            "fax_number": "323-249-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 PACIFIC BLVD",
            "address_2": "SUITE # 225",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554783",
            "telephone_number": "310-991-4950",
            "fax_number": "323-249-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAJ NAZARIAN MD, INC MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-991-4950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "A43573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A43573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.