Lipov Medical Group of Ca PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LIPOV MEDICAL GROUP OF CA PC

Practice address

12381 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1063

Phone

(855) 519-2122

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Lipov, MD

Title

Owner

Phone

(312) 618-0829

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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

• Nima A Fahimian, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Los Angeles, CA
  • NPI 1437100278
  Medicare reassignment Care Compare group NPD
• John David How, M.D.

  • General Practice Physician
  • Encinitas, CA
  • NPI 1861613515
  Medicare reassignment Care Compare group NPD
• Melanie Nicole Jimenez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Claremont, CA
  • NPI 1376285965
  Medicare reassignment Care Compare group NPD
• Danielle Manna, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Encinitas, CA
  • NPI 1407687007
  Medicare reassignment Care Compare group NPD
• Jacob Moussai, MD

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1952494023
  Medicare reassignment Care Compare group NPD
• Joshua Poole, MD

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1346734928
  Medicare reassignment Care Compare group NPD
• Patrick Wester, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1578249843
  Medicare reassignment Care Compare group NPD
• Danika Mills, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1518788850
  Medicare reassignment Care Compare group
• Gavin Dawson

  • Physician Assistant
  • Seattle, WA
  • NPI 1073163986

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1497635221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E OAKHILL DR STE 100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595540",
            "telephone_number": "855-519-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12381 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251063",
            "telephone_number": "855-519-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPOV MEDICAL GROUP OF CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "LIPOV",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-618-0829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clarence Lipham, MD
• Mark Steven Lipian, M.D., PH.D.
• Judyta Anna Lipinska, MD
• Samuel Harris Lipkin
• Sophie Lipman
• Dianne Lipp, OT
• Laurel Lippert, PH.D.
• David Michael Lippi
• Catherine Lippincott
• Sarah Lippman, R.D.N

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.