Mypreop Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MYPREOP MEDICAL GROUP INC

Practice address

8700 Beverly Blvd
Los Angeles, CA 90048

Phone

(310) 571-8159

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shamim Shakibai, MDNPI 1164607677

Title

Ceo

Phone

(310) 571-8159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, CO, FL3 enrollments

Enrollment records 3

Locations

Practitioners 3

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

• Shamim Vahid Shakibai, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1164607677

  CO, FL

  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Factor Lewis, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1306113360

  CO

  Medicare reassignment Care Compare group NPD
• Anita Anh Thu Phancao, M.D

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Tucson, AZ
  • NPI 1396932299

  CA, CO, FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1497460265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 SANTA MONICA BLVD STE 516",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-571-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPREOP MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-03",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "SHAKIBAI",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-571-8159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Cho Myo Bui, M.D.
• Melissa Grace Myo, MD
• Myobalance Suh and Jung Chiropractic, Apc (Myobalance)
• Elliot Myong
• Myplace Care Partners, P.C.
• Azzlee Myres, PHARMD
• Anelisa Myrick
• Joseph T Myrie, MD
• Vanessa Asana Myrie, MSW
• Jayson L. Mystkowski, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.