NPIMap

Organization Active NPI

Delaram Ghadishah, MD., Inc.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1649344631
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A070084 Issued in CA
Legal business name
DELARAM GHADISHAH, MD., INC.
Practice address
5925 San Vicente Blvd
Los Angeles, CA 90019-6630
Phone
(323) 932-5105
Fax
(323) 938-3161
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Delaram Ghadishah, MDNPI 1417909573
Title
President
Phone
(310) 560-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X A070084 CA Primary

Addresses

Primary practice location

5925 San Vicente Blvd
Los Angeles, CA 90019-6630

Mailing address

PO Box 661748
Arcadia, CA 91066-1748
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A700840MedicaidCA

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1649344631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661748",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661748",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196630",
            "telephone_number": "323-932-5105",
            "fax_number": "323-938-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELARAM GHADISHAH, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "GHADISHAH",
        "authorized_official_first_name": "DELARAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-560-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A070084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A700840",
            "state": "CA"
        }
    ],
    "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, 2008; 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.