Angeles Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A104717 Issued in CA

Legal business name

ANGELES MEDICAL CLINIC, INC.

Practice address

204 E Pico Blvd
Los Angeles, CA 90015-2508

Phone

(213) 457-4000

Fax

(213) 457-6000

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sarvenaz Saadat Mobasser, M.D.NPI 1295061786

Title

President

Phone

(213) 457-4000

Specialties & licenses 1

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

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• Sarvenaz Saadat Mobasser, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1295061786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1528344686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902130299",
            "telephone_number": "213-457-4000",
            "fax_number": "213-457-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152508",
            "telephone_number": "213-457-4000",
            "fax_number": "213-457-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MOBASSER",
        "authorized_official_first_name": "SARVENAZ",
        "authorized_official_middle_name": "SAADAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-457-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M. Franco, Physician Assistant, Inc.
• Angeleno Hospice, Inc.
• Angeles Clinic and Research Institute Inc
• Angeles Comprehensive Community Clinic, Inc.
• Angeles Home Health Care, Inc.
• Angeles Psychology Group
• Angeles Psychology Group, a Professional Psychology Corporation
• Nancy Jazmin Angeles-Lopez
• Abdon C Angeles, RPT
• Adrianne Angeles, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.