Active NPI
Jonathan Ghiam, D.O.
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A16421
- Practice address
- 1401 S Grand Ave
Los Angeles, CA 90015 - Phone
- (772) 398-7936
- NPI assigned
- Aug 26, 2015
- Last updated
- Jul 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A16421 | CA | Primary |
Addresses
Primary practice location
1401 S Grand Ave
Los Angeles, CA 90015
Mailing address
10501 Wilshire Blvd Unit 1411
Los Angeles, CA 90024-6314
Phone (213) 748-2411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777
9777 Wilshire Blvd
Suite 400
Beverly Hills, CA 90212-1910
Phone (310) 362-1144
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16421 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Im-FSR Inc. | Single Specialty | Current | Accepting new patients |
| Hospitalist Group of Montebello Inc | Single Specialty | Current | Accepting new patients |
| Calorie Clinic Medical Corporation | Single Specialty | Current | Accepting new patients |
Locations
9777 Wilshire Blvd
Ste 400
Beverly Hills, CA 90212
Phone (310) 362-1144
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Beverly Hills, CA
- NPI 1821970641
Single Specialty
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba California Hospital Medical Center - Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1336516277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 WILSHIRE BLVD UNIT 1411",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246314",
"telephone_number": "213-748-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90015",
"telephone_number": "772-398-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIAM",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A16421",
"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 Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.