Organization Active NPI

Mobile Medics Group LLC

  • General Practice Physician
  • Van Nuys, CA
National Provider Identifier
1427935162
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MOBILE MEDICS GROUP LLC
Practice address
7136 Haskell Ave Ste 200
Van Nuys, CA 91406-4112
Phone
(818) 646-6002
Fax
(818) 646-8003
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Suren Stepanyan
Title
Ceo
Phone
(818) 646-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

7136 Haskell Ave Ste 200
Van Nuys, CA 91406-4112

Mailing address

7136 Haskell Ave Ste 200
Van Nuys, CA 91406-4112
Phone (818) 646-6002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121002558 CA Part B Supplier - Clinic/Group Practice 4284126830 Receives reassigned benefits from 2 practitioners
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

7136 Haskell Ave
Ste 200
Van Nuys, CA 91406
Phone (818) 610-3344

Practitioners & affiliated clinicians

Practitioners 2

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1427935162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-646-6002",
            "fax_number": "818-646-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-646-6002",
            "fax_number": "818-646-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "STEPANYAN",
        "authorized_official_first_name": "SUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-6002"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.