Organization Active NPI

Nationwide Vitals, Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1659255958
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NATIONWIDE VITALS, MEDICAL CORPORATION
Practice address
11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929
Phone
(310) 237-8760
NPI assigned
Aug 1, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Dr. Sean Shahrad Behnam, MD
Title
Ceo
Phone
(310) 237-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929

Mailing address

11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929
Phone (310) 237-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924003892 CA Part B Supplier - Clinic/Group Practice 1254836810 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

11669 Santa Monica Blvd
Ste 110
Los Angeles, CA 90025
Phone (310) 237-8760

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1659255958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11669 SANTA MONICA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252929",
            "telephone_number": "310-237-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11669 SANTA MONICA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252929",
            "telephone_number": "310-237-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE VITALS, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BEHNAM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SHAHRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-237-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Aug 1, 2025; 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.