Organization Active NPI

Mobile Geriatrics Professional Corporation

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Westlake Village, CA
National Provider Identifier
1699696377
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
MOBILE GERIATRICS PROFESSIONAL CORPORATION
Practice address
30700 Russell Ranch Rd Ste 200
Westlake Village, CA 91362
Phone
(310) 943-7577
Fax
(310) 943-7490
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Mahzad Sharaby
Title
Chief Operating Officer
Phone
(310) 943-7297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

30700 Russell Ranch Rd Ste 200
Westlake Village, CA 91362

Mailing address

30700 Russell Ranch Rd Ste 200
Westlake Village, CA 91362
Phone (310) 943-7577

National Provider Directory

National Provider Directory

Locations

30700 Russell Ranch Rd
Ste 200
Westlake Village, CA 91362
Phone (310) 422-8233

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1699696377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "310-943-7577",
            "fax_number": "310-943-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "310-943-7577",
            "fax_number": "310-943-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE GERIATRICS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARABY",
        "authorized_official_first_name": "MAHZAD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-943-7297"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.