Organization Active NPI

Nader Sobh Inc

  • Sports Medicine (Family Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1447875570
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
NADER SOBH INC
Practice address
11740 San Vicente Blvd Ste 205
Los Angeles, CA 90049-6610
Phone
(951) 833-3712
NPI assigned
Jun 15, 2020
Organization subpart
Yes
Parent organization
NADER SOBH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Nader Sobh, DONPI 1952766925
Title
Physician
Phone
(951) 833-3712

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
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

11740 San Vicente Blvd Ste 205
Los Angeles, CA 90049-6610

Mailing address

716 W Broadway Ste 200
Glendale, CA 91204-1010
Phone (951) 833-3712

National Provider Directory

National Provider Directory
Tax ID family
Nader Sobh Inc2 organizations share this tax ID, including this one
Part of
Nader Sobh Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11740 San Vicente Blvd
Ste 205
Los Angeles, CA 90049
Phone (310) 820-7602

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1447875570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROADWAY STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041010",
            "telephone_number": "951-833-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SAN VICENTE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496610",
            "telephone_number": "951-833-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER SOBH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NADER SOBH INC",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SOBH",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-833-3712",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.