Organization Active NPI

Ramin Gabbai MD.,a Medical Corporation

  • Nephrology Physician
  • West Hollywood, CA
National Provider Identifier
1386967529
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A71442 Issued in CA
Legal business name
RAMIN GABBAI MD.,A MEDICAL CORPORATION
Practice address
8737 Beverly Blvd
Suite 403
West Hollywood, CA 90048-1828
Phone
(310) 652-3779
Fax
(310) 659-9039
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. Ramin Gabbai, M.DNPI 1457417248
Title
President
Phone
(310) 652-3779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A71442 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd
Suite 403
West Hollywood, CA 90048-1828

Mailing address

PO Box 16134
Beverly Hills, CA 90209-2134
Phone (310) 652-3779

Other identifiers 1

IdentifierTypeStateIssuer
00A714420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100512000814 CA Part B Supplier - Clinic/Group Practice 5890823884 Receives reassigned benefits from 2 practitioners
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

8737 Beverly Blvd
Ste 403
West Hollywood, CA 90048
Phone (310) 652-3779

Practitioners & affiliated clinicians

Practitioners 3

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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1386967529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16134",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092134",
            "telephone_number": "310-652-3779",
            "fax_number": "310-659-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD",
            "address_2": "SUITE 403",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481828",
            "telephone_number": "310-652-3779",
            "fax_number": "310-659-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN GABBAI MD.,A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "GABBAI",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-652-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A71442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A714420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.