Active NPI
Perpetual Mobile Medical Group Inc
- Primary Care Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PERPETUAL MOBILE MEDICAL GROUP INC
- Practice address
- 5015 Eagle Rock Blvd Ste 200
Los Angeles, CA 90041-2087 - Phone
- (323) 455-4868
- Fax
- (323) 577-7826
- NPI assigned
- Jul 7, 2022
- Last updated
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlon Camar Salamat
- Title
- Cfo
- Phone
- (626) 497-6500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
5015 Eagle Rock Blvd Ste 200
Los Angeles, CA 90041-2087
Mailing address
1200 E Route 66 Ste 102
Glendora, CA 91740-6360
Phone (323) 455-4868
Other practice location 1
1200 E Route 66 Ste 102
Glendora, CA 91740-6360
Phone (323) 455-4868
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.practicefusion.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868
5015 Eagle Rock Blvd
Ste 202
Los Angeles, CA 90041
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Hematology & Oncology Physician
- Montebello, CA
- NPI 1639199656
-
- Family Medicine Physician
- Baldwin Park, CA
- NPI 1679644587
-
- Family Medicine Physician
- San Fernando, CA
- NPI 1962494641
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1548897093
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1639799273
-
- Internal Medicine Physician
- Burbank, CA
- NPI 1003311960
-
- Family Medicine Physician
- Porter Ranch, CA
- NPI 1497964688
-
- Registered Record Administrator
- Glendora, CA
- NPI 1316512296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1457084386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E ROUTE 66 STE 102",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406360",
"telephone_number": "323-455-4868",
"fax_number": "323-577-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 EAGLE ROCK BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412087",
"telephone_number": "323-455-4868",
"fax_number": "323-577-7826"
}
],
"practiceLocations": [
{
"address_1": "1200 E Route 66 Ste 102",
"address_purpose": "LOCATION",
"city": "Glendora",
"state": "CA",
"postal_code": "917406360",
"country_code": "US",
"telephone_number": "323-455-4868",
"fax_number": "323-577-7826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PERPETUAL MOBILE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-07",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "SALAMAT",
"authorized_official_first_name": "MARLON",
"authorized_official_middle_name": "CAMAR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "626-497-6500"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.practicefusion.com",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5015 Eagle Rock Blvd Ste 200",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900412087",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 13, 2024; 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.