Organization Active NPI

Michael Bazelyansky, MD, a Professional Medical Corporation

Doing business as Bell Community Medical Group

  • General Practice Physician
  • Bell, CA
National Provider Identifier
1447478532
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G78177 Issued in CA
Legal business name
MICHAEL BAZELYANSKY, MD, A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Bell Community Medical Group
Practice address
4001 Florence Ave
Bell, CA 90201-3403
Phone
(323) 562-0595
Fax
(323) 562-2047
NPI assigned
Apr 23, 2007
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Michael Bazel, MDNPI 1598712978
Title
Owner
Phone
(323) 562-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G78177 CA Primary

Addresses

Primary practice location

4001 Florence Ave
Bell, CA 90201-3403

Mailing address

4001 Florence Ave
Bell, CA 90201-3403
Phone (323) 562-0595

Other names 1

  • Bell Community Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

4001 Florence Ave
Bell, CA 90201
Phone (323) 562-0595

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1447478532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013403",
            "telephone_number": "323-562-0595",
            "fax_number": "323-562-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902013403",
            "telephone_number": "323-562-0595",
            "fax_number": "323-562-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BAZELYANSKY, MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "BAZEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-562-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G78177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Community Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.