Organization Active NPI

Ben Mousavi MD Medical Corporation

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1356747802
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A131983 Issued in CA
Legal business name
BEN MOUSAVI MD MEDICAL CORPORATION
Practice address
5776 Lindero Canyon Rd # 400D
Westlake Village, CA 91362-6428
Phone
(818) 625-7210
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Ben B Mousavi, MD
Title
Owner/Provider
Phone
(818) 625-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A131983 CA Primary

Addresses

Primary practice location

5776 Lindero Canyon Rd # 400D
Westlake Village, CA 91362-6428

Mailing address

5776 Lindero Canyon Rd # 400D
Westlake Village, CA 91362-6428
Phone (818) 625-7210

National Provider Directory

National Provider Directory

Locations

5776 Lindero Canyon Rd
Ste 400D
Westlake Village, CA 91362

5776 Lindero Canyon Rd
#400D
Westlake Village, CA 91362
Phone (818) 625-7210

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": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1356747802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 LINDERO CANYON RD # 400D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626428",
            "telephone_number": "818-625-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 LINDERO CANYON RD # 400D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626428",
            "telephone_number": "818-625-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN MOUSAVI MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "MOUSAVI",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "818-625-7210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A131983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.