Abm Medical Clinic, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20A7100 Issued in CA

Legal business name

ABM MEDICAL CLINIC, INC.

Practice address

22554 Ventura Blvd Ste 201
Ste 201
Woodland Hills, CA 91364-1480

Phone

(818) 222-8042

Fax

(818) 222-2240

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maryam Mortezaiefard, D.O.NPI 1285653196

Title

Medical Director

Phone

(818) 222-8042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Maryam Mortezaiefard, D.O.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1285653196
  Medicare reassignment NPD Authorized official
• Mina Mortezai, D.O.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1770547325
  Medicare reassignment NPD

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1497944557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD STE 201",
            "address_2": "STE 201",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641480",
            "telephone_number": "818-222-8042",
            "fax_number": "818-222-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD STE 201",
            "address_2": "STE 201",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641480",
            "telephone_number": "818-222-8042",
            "fax_number": "818-222-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABM MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "MORTEZAIEFARD",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-222-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "20A7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samar M Abdullah
• Rashad Abdur-Rahim, LVN
• Gladys Abea
• Cecille Abeleda, RCP, RRT
• Diana Ignatia Abidin
• Sunitha Abraham
• Arineh Rita Abram
• Linda W Abrams, N.P.
• Andrea Abrham
• Stephano Marcus Abusleme, DO

• Health Service Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.