NPIMap

Organization Active NPI

Serpah Medical PC

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1619445640
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SERPAH MEDICAL PC
Practice address
2080 Century Park E Ste 710
Los Angeles, CA 90067-2010
Phone
(424) 274-3211
NPI assigned
Nov 7, 2018
Organization subpart
Yes
Parent organization
PHILLIP MUSIKANTH MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Kevin Matthew Nelson
Title
Administrator
Phone
(310) 883-8920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0001X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2080 Century Park E Ste 710
Los Angeles, CA 90067-2010

Mailing address

2080 Century Park E Ste 710
Los Angeles, CA 90067-2010
Phone (424) 274-3211

Other names 2

  • Seraph Medical PC Doing business as
  • Seraph Medical Other name

National Provider Directory

National Provider Directory
Part of
Phillip Musikanth MD Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1619445640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672010",
            "telephone_number": "424-274-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672010",
            "telephone_number": "424-274-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERPAH MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIP MUSIKANTH MD INC",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-883-8920"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seraph Medical PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seraph Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.