Organization Active NPI

Agra Medical Group Apc

  • Adult Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1417644360
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
AGRA MEDICAL GROUP APC
Practice address
7535 Laurel Canyon Blvd
North Hollywood, CA 91605-3149
Phone
(818) 570-5002
NPI assigned
Apr 20, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Rashita Aggarwal, MDNPI 1043522790
Title
Medical Director
Phone
(818) 570-5002

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
Adult Medicine Physician 207QA0505X Primary

Addresses

Primary practice location

7535 Laurel Canyon Blvd
North Hollywood, CA 91605-3149

Mailing address

7535 Laurel Canyon Blvd
North Hollywood, CA 91605-3149
Phone (818) 570-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519001211 CA Part B Supplier - Clinic/Group Practice 7719343540 Receives reassigned benefits from 3 practitioners
Practice locations: N Hollywood, CA

National Provider Directory

National Provider Directory

Locations

7535 Laurel Canyon Blvd
North Hollywood, CA 91605
Phone (818) 308-9424

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1417644360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053149",
            "telephone_number": "818-570-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053149",
            "telephone_number": "818-570-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGRA MEDICAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "RASHITA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-570-5002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.