Active NPI
Perpetual Mobile Medical Group Inc
- Primary Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1457084386
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
- 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
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 202
Los Angeles, CA 90041
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- 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
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.