Active NPI
Peyman Banooni Medical Group Inc
Doing business as 7th Street Medical Group
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1689978850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PEYMAN BANOONI MEDICAL GROUP INC
- Doing business as
- 7th Street Medical Group
- Practice address
- 1919 W 7TH St
Unit 2a
Los Angeles, CA 90057-4103 - Phone
- (310) 625-4643
- Fax
- (310) 652-3489
- NPI assigned
- Jan 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peyman Banooni, M.D.
- Title
- Owner
- Phone
- (310) 625-4643
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X |
Addresses
Primary practice location
1919 W 7TH St
Unit 2a
Los Angeles, CA 90057-4103
Mailing address
1919 W 7TH St
Unit 2a
Los Angeles, CA 90057-4103
Phone (310) 625-4643
Other names 1
- 7th Street Medical Group
National Provider Directory
National Provider DirectoryLocations
6120 Seville Ave
#B
Huntington Park, CA 90255
Phone (323) 588-8855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1689978850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 W 7TH ST",
"address_2": "UNIT 2A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574103",
"telephone_number": "310-625-4643",
"fax_number": "310-652-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W 7TH ST",
"address_2": "UNIT 2A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574103",
"telephone_number": "310-625-4643",
"fax_number": "310-652-3489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEYMAN BANOONI MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "BANOONI",
"authorized_official_first_name": "PEYMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-625-4643",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "7th Street Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.