Organization Active NPI

Federal Medical Group Inc

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1306895552
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A40040 Issued in CA
Legal business name
FEDERAL MEDICAL GROUP INC
Practice address
1700 Westwood Blvd
1St Floor
Los Angeles, CA 90024-5608
Phone
(310) 234-6600
Fax
(310) 234-6604
NPI assigned
May 7, 2006
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Sohrab Yamini, MDNPI 1689601858
Title
Owner
Phone
(310) 234-6600

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)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A40040 CA Primary

Addresses

Primary practice location

1700 Westwood Blvd
1St Floor
Los Angeles, CA 90024-5608

Mailing address

1700 Westwood Blvd
1St Floor
Los Angeles, CA 90024-5608
Phone (310) 234-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000466 CA Part B Supplier - Clinic/Group Practice 0648179192 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1700 Westwood Blvd
Fl First
Los Angeles, CA 90024

Practitioners & affiliated clinicians

Practitioners 1

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": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1306895552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WESTWOOD BLVD",
            "address_2": "1ST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245608",
            "telephone_number": "310-234-6600",
            "fax_number": "310-234-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTWOOD BLVD",
            "address_2": "1ST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245608",
            "telephone_number": "310-234-6600",
            "fax_number": "310-234-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "YAMINI",
        "authorized_official_first_name": "SOHRAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-234-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A40040",
            "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 Mar 16, 2012; 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.

Verify at the official NPI Registry.