Organization Active NPI

Ashkan E Sefaradi Inc

  • Internal Medicine Physician
  • Culver City, CA
National Provider Identifier
1538759238
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASHKAN E SEFARADI INC
Practice address
9808 Venice Blvd Ste 707
Culver City, CA 90232-6802
Phone
(310) 845-6245
NPI assigned
Jan 26, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Ashkan Sefaradi, MDNPI 1861802548
Title
Owner
Phone
(310) 845-6245

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9808 Venice Blvd Ste 707
Culver City, CA 90232-6802

Mailing address

1426 Cardiff Ave
Los Angeles, CA 90035-3205
Phone (310) 845-6245

Other practice location 1

321 S San Vicente Blvd Apt 304
Los Angeles, CA 90048-3332
Phone (310) 845-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324003093 CA Part B Supplier - Clinic/Group Practice 5496162182 Receives reassigned benefits from 1 practitioner
Practice locations: Culver City, CA; Los Angeles, CA; Monrovia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1538759238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 CARDIFF AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353205",
            "telephone_number": "310-845-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 707",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326802",
            "telephone_number": "310-845-6245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 S San Vicente Blvd Apt 304",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483332",
            "country_code": "US",
            "telephone_number": "310-845-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHKAN E SEFARADI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SEFARADI",
        "authorized_official_first_name": "ASHKAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-845-6245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.