Active NPI
Mehry Gharib, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1598817868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A53533
- Practice address
- 115 E Washington Blvd
Los Angeles, CA 90015-3606 - Phone
- (213) 234-5520
- Fax
- (213) 234-5521
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A53533 | CA | Primary |
Addresses
Primary practice location
115 E Washington Blvd
Los Angeles, CA 90015-3606
Mailing address
16157 Anoka Dr
Pacific Palisades, CA 90272-2413
Phone (310) 454-0875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220126002530 | CA | Order and Referring Only - Family Practice | 4385033604 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53533 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598817868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16157 ANOKA DR",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902722413",
"telephone_number": "310-454-0875",
"fax_number": "213-234-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153606",
"telephone_number": "213-234-5520",
"fax_number": "213-234-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARIB",
"first_name": "MEHRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A53533",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.