Active NPI
Trigen Medical Group
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1518618164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- TRIGEN MEDICAL GROUP
- Practice address
- 1972 E Cesar E Chavez Ave
Los Angeles, CA 90033-1751 - Phone
- (818) 760-2800
- NPI assigned
- Jan 14, 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
- Soroush Adam Ramin, MD
- Title
- Managing Partner
- Phone
- (818) 760-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X | |||
| Surgical Oncology Physician | 2086X0206X | |||
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1972 E Cesar E Chavez Ave
Los Angeles, CA 90033-1751
Mailing address
12922 Victory Blvd
North Hollywood, CA 91606-2924
Phone (818) 760-2800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642118400000",
"number": "1518618164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12922 VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916062924",
"telephone_number": "818-760-2800",
"fax_number": "818-760-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331751",
"telephone_number": "818-760-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIGEN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "RAMIN",
"authorized_official_first_name": "SOROUSH",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "818-760-2800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.