Socal Diagnostic

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOCAL DIAGNOSTIC

Practice address

1003 Wilshire Blvd Ste 206
Santa Monica, CA 90401-1927

Phone

(832) 216-4006

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Shadie Maghareh, J.D.

Title

Co-Founder

Phone

(832) 216-4006

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fereshteh Rajabi, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1912361700
  NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1407447774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WILSHIRE BLVD STE 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILSHIRE BLVD STE 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011927",
            "telephone_number": "832-216-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "MAGHAREH",
        "authorized_official_first_name": "SHADIE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "832-216-4006",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce S. Snyder, MFT, CEAP
• Logan Ryan Snyder
• Lauren Sobel, LVN
• Juan Luis Soberal II, PT, DPT, FAFS
• Noel Elatico Sobing, RN
• Socal Med Group, Inc.
• Socal Surgical Specialties, LLC.
• Julia Corina Socolovsky
• Ari Sofer, PTA
• Soheil Najibi, MD PHD

• Clinical Medical Laboratory in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.