Med-Legal Safaeian Chiropractic and Physical Therapy Group Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27287 Issued in CA

Legal business name

MED-LEGAL SAFAEIAN CHIROPRACTIC AND PHYSICAL THERAPY GROUP INC

Practice address

426 E Arbor Vitae St
Inglewood, CA 90301-3450

Phone

(310) 672-4110

Fax

(310) 672-0181

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Masoud Safaeian, DCNPI 1265468714

Title

President/Owner

Phone

(310) 672-4110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Masoud Safaeian, DC

  • Chiropractor
  • Inglewood, CA
  • NPI 1265468714

  CA, Chiropractor

  Medicare reassignment NPD Authorized official
• Jay Lomibao Padillo, PHYSICAL THERAPIST

  • Physical Therapist
  • Inglewood, CA
  • NPI 1497965867
  NPD (past)
• Pia Bravo Padillo

  • Physical Therapist
  • Glendale, CA
  • NPI 1215147681
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1588945950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E ARBOR VITAE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013450",
            "telephone_number": "310-672-4110",
            "fax_number": "310-672-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E ARBOR VITAE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013450",
            "telephone_number": "310-672-4110",
            "fax_number": "310-672-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-LEGAL SAFAEIAN CHIROPRACTIC AND PHYSICAL THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "SAFAEIAN",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-672-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00DC27287A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rae Shelston McIntosh, RN
• Kehiante McKinley, PSYD
• Phillip Gordon McKinley, M.D.
• Kaitlyn McNulty
• Akilah S McRoy, RN, PHN
• Medical Supply Outlet, Inc.
• Medical Support Los Angeles a Medical Corporation
• Medinex Medical Group, Apc
• Medrx Infusion Clinical Pharmacy, LLC
• Medrx Infusion Clinical Pharmacy, LLC

• All providers in Inglewood, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.