Southern California Internists Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN CALIFORNIA INTERNISTS MEDICAL GROUP

Practice address

1713 E Walnut St
Pasadena, CA 91106-1611

Phone

(818) 482-5500

NPI assigned

Apr 4, 2020

Organization subpart

No

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

Authorized official

Name

Gregor Paronian, MDNPI 1366627945

Title

President

Phone

(818) 482-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregor Paronian, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1366627945
  Medicare reassignment Care Compare group NPD Authorized official
• Beainy Yeva Natefka Ohanian, FNP-C

  • Family Nurse Practitioner
  • Pasadena, CA
  • NPI 1629857255
  Medicare reassignment Care Compare group NPD
• Luisa Maria Schulman, RN, NP

  • Nurse Practitioner
  • Pasadena, CA
  • NPI 1932390580
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585958400000",
    "number": "1689203374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "818-482-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "818-482-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA INTERNISTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A",
        "authorized_official_last_name": "PARONIAN",
        "authorized_official_first_name": "GREGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-482-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.