Organization Active NPI

Ghomri Health Care Inc

  • Interventional Pain Medicine Physician
  • Glendale, CA
National Provider Identifier
1508338765
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GHOMRI HEALTH CARE INC
Practice address
1100 E Broadway Ste 301
Glendale, CA 91205-1380
Phone
(310) 971-4757
Fax
(855) 795-4464
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Yashar Ghomri, DO
Title
Medical Director
Phone
(310) 971-4757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1100 E Broadway Ste 301
Glendale, CA 91205-1380

Mailing address

1100 E Broadway Ste 301
Glendale, CA 91205-1380
Phone (310) 971-4757

Other names 1

  • Los Angeles Pain Insitute Doing business as

National Provider Directory

National Provider Directory

Locations

1100 E Broadway
Ste 301
Glendale, CA 91205
Phone (310) 971-4757

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1508338765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051380",
            "telephone_number": "310-971-4757",
            "fax_number": "855-795-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051380",
            "telephone_number": "310-971-4757",
            "fax_number": "855-795-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOMRI HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "GHOMRI",
        "authorized_official_first_name": "YASHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-971-4757",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Pain Insitute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.