S & S Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A66615 Issued in CA

Legal business name

S & S MEDICAL GROUP, INC.

Practice address

648 E 21St St
Los Angeles, CA 90011-1146

Phone

(213) 749-7110

Fax

(213) 749-2749

NPI assigned

Oct 10, 2007

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Ghalili, M.D.NPI 1669546453

Title

Physician

Phone

(213) 749-7110

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

Practitioners 3

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.

• Steven Ghalili, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1669546453
  Medicare reassignment NPD Authorized official
• Saman Ghalili, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1891724993
  NPD
• Deborah Borah, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1871775627
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1548458987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E 21ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111146",
            "telephone_number": "213-749-7110",
            "fax_number": "213-749-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 E 21ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111146",
            "telephone_number": "213-749-7110",
            "fax_number": "213-749-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GHALILI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-749-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A66615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Keunjoo Ryuman, D.D.S.
• Lily Ryzhkova, M.D.
• S R Quality Assisted Living Inc.
• S & J Medical Clinic Inc
• S & R Quality Assisted Living Inc.
• S & S Medical Supply Inc
• S a M Medicine Inc (Campus Pharmacy)
• S K Mostafavi MD FCCP a Medical Corporation
• S Karakozian & T Kotchounian Dental Corp
• S Levenberg Marriage and Family Therapy Corporation

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.