Vermont Family Care Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A53847 Issued in CA

Legal business name

VERMONT FAMILY CARE MEDICAL CLINIC INC

Practice address

640 N Arden Blvd
Los Angeles, CA 90004-1202

Phone

(323) 228-4399

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Rastegar, M.D.NPI 1609936483

Title

President

Phone

(323) 228-4399

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• John Hassan Rastegar, MD

  • Family Medicine Physician
  • La, CA
  • NPI 1609936483
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1437350014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N ARDEN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041202",
            "telephone_number": "323-228-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N ARDEN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041202",
            "telephone_number": "323-228-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT FAMILY CARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-228-4399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1609936483",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rakhee Wadhwa Verma, M.D.
• Shweta Verma
• Arthur Vermeulen, MD
• Vermont Family and Women Health Services Apc
• Vermont Family and Women'S Clinic, Inc
• Vermont Healthcare Center Inc
• Vermont Medical Supply, Inc
• Vermont MRI, LLC
• Vermont Pharmacy & Medical Supplies Inc
• Vermont Podiatry Group

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.