Active NPI
Ebrahim Sajedi MD. Inc.
- Internal Medicine Physician
- Santa Monica, CA
National Provider Identifier
1376564484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EBRAHIM SAJEDI MD. INC.
- Practice address
- 2222 Santa Monica Blvd
Suite 404
Santa Monica, CA 90404-2304 - Phone
- (310) 828-1600
- Fax
- (310) 829-9362
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebrahim Sajedi, MD
- Title
- Director
- Phone
- (310) 828-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2222 Santa Monica Blvd
Suite 404
Santa Monica, CA 90404-2304
Mailing address
2222 Santa Monica Blvd
Suite 404
Santa Monica, CA 90404-2304
Phone (310) 828-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A622640 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2222 Santa Monica Blvd
Ste 404
Santa Monica, CA 90404
Phone (310) 828-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316131200000",
"number": "1376564484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SANTA MONICA BLVD",
"address_2": "SUITE 404",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042304",
"telephone_number": "310-828-1600",
"fax_number": "310-829-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 SANTA MONICA BLVD",
"address_2": "SUITE 404",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042304",
"telephone_number": "310-828-1600",
"fax_number": "310-829-9362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBRAHIM SAJEDI MD. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2011-09-16",
"status": "A",
"authorized_official_last_name": "SAJEDI",
"authorized_official_first_name": "EBRAHIM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-828-1600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A622640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.