Individual provider Active NPI

Nabila Erian Gindi, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346278124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A30005 Issued in CA
Practice address
1110 N Western Ave
Suite 201
Los Angeles, CA 90029-1088
Phone
(323) 463-6881
Fax
(323) 463-6831
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A30005 CA Primary

Addresses

Primary practice location

1110 N Western Ave
Suite 201
Los Angeles, CA 90029-1088

Mailing address

1110 N. Western Ave.
Suite 201
Los Angeles, CA 90029
Phone (323) 463-6881

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ83783ZMedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150213000001 CA Practitioner - General PracticePractitioner - Obstetrics/Gynecology 7517035934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hollywood Cross Medical ClinicGroup PAC ID 9335217868, 2 clinicians

Practice addresses (Care Compare)

1110 N Western Ave
Los Angeles, CA 90029-1087
Phone (323) 463-6881

Hospital & facility affiliations

  • Supreme Home Health Care Inc Home health agency, Los Angeles, CA, CCN 758052
  • Golden Century Home Health Care, Inc Home health agency, Burbank, CA, CCN 059292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30005CAMDGeneral Practice Dentistry
A30005CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Cross Medical Clinic CurrentSince Jan 1, 1973 Accepting new patients
Dignity Health Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

5465 Santa Monica Blvd
Ste 101
Los Angeles, CA 90029
Phone (323) 467-7770

1110 N Western Ave
Ste 201
Los Angeles, CA 90029
Phone (323) 463-6881

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346278124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N. WESTERN AVE.",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-463-6881",
            "fax_number": "323-463-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291088",
            "telephone_number": "323-463-6881",
            "fax_number": "323-463-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDI",
        "first_name": "NABILA",
        "middle_name": "ERIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A30005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83783Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.