Steven Ghalili, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A666150 Issued in CA

Practice address

648 E 21St St
Los Angeles, CA 90011-1146

Phone

(213) 749-7110

Fax

(213) 749-2749

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Tufts University School of Medicine, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S & S Medical Group, Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1548458987
  Medicare reassignment NPD Authorized official
• Sam Ghalili MD Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1720453574
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1669546453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 E 21ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111146",
            "telephone_number": "213-749-7110",
            "fax_number": "213-749-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 E 21ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111146",
            "telephone_number": "213-749-7110",
            "fax_number": "213-749-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALILI",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A666150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A666150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paria Ghalavand
• Ojan Ghalchi, DMD
• Mohammad Ghalichi, M.D.
• Maziar Mark Ghalili, D.O.
• Saman Ghalili, M.D.
• Nare Ghaltakhchyan
• Azmy F Ghaly, MEDICAL DOCTOR
• Maged Ghaly
• Christina Ghanbari, DPT
• Dallia R Ghanem, LSCW

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.