Ag Infectious Diseases, a Medical Corporation

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A68156 Issued in CA

Legal business name

AG INFECTIOUS DISEASES, A MEDICAL CORPORATION

Practice address

11301 W Olympic Blvd
Suite 121-435
Los Angeles, CA 90064-1653

Phone

(424) 256-6682

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aric Gregson, MDNPI 1588683007

Title

Physician

Phone

(424) 256-6682

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Aric Lee Gregson, MD

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1588683007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1356872667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 W OLYMPIC BLVD",
            "address_2": "SUITE 121-435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 W OLYMPIC BLVD",
            "address_2": "SUITE 121-435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641653",
            "telephone_number": "424-256-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG INFECTIOUS DISEASES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "GREGSON",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "424-256-6682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A68156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PPIN",
            "identifier": "00A681560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Esther Aftalion, OTR/L
• Natasha Aftandilians
• Jennifer Lauren Aftergood, MPH, RD
• Aftermath Medical Group, Onc.
• Payam Afzali, DDS, MD
• Ag Nutrition Services LLC
• Ani Agabalian
• Ihuoma Maria Agada
• Steven Slava Agafonoff
• Against All Odds Recovery LLC

• General Acute Care Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.