B & G Medical and Surgical Providers a Professional Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

B & G MEDICAL AND SURGICAL PROVIDERS A PROFESSIONAL CORPORATION

Practice address

10660 Wilshire Blvd Apt 1108
Los Angeles, CA 90024-4526

Phone

(310) 490-8181

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Elham Gadishah, M.D.

Title

Doctor

Phone

(310) 490-8181

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elham Ghadishah, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Culver City, CA
  • NPI 1174546071
  NPD (past)

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1306482237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 WILSHIRE BLVD APT 1108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244526",
            "telephone_number": "310-490-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 WILSHIRE BLVD APT 1108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244526",
            "telephone_number": "310-490-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & G MEDICAL AND SURGICAL PROVIDERS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "GADISHAH",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-490-8181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadera Azzam, MSGH, RDN
• Dominic Azzariti
• Soraya Azzawi
• Catherine Azzopardi, LCSW
• Sabrina Azzuz, M.A.
• B Expressive, Inc.
• B Iravani DDS
• B. David Massaband DPM Inc
• B. David Massaband, DPM, Inc
• B. Deirmenjian, D.D.S., Inc.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.