Organization Active NPI

Peyman Banooni Medical Group Inc

Doing business as 7th Street Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1689978850
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 3, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.