Organization Active NPI

Sar MD Group Inc

  • Neurology Physician
  • North Hollywood, CA
National Provider Identifier
1700683877
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SAR MD GROUP INC
Practice address
12826 Victory Blvd Ste D
North Hollywood, CA 91606-3066
Phone
(424) 877-2974
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
David Lewis Edelman, MDNPI 1366482960
Title
Ceo
Phone
(818) 583-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

12826 Victory Blvd Ste D
North Hollywood, CA 91606-3066

Mailing address

12826 Victory Blvd Ste D
North Hollywood, CA 91606-3066
Phone (424) 877-2974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507003275 CA Part B Supplier - Clinic/Group Practice 4880111327 Receives reassigned benefits from 1 practitioner
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1700683877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063066",
            "telephone_number": "424-877-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063066",
            "telephone_number": "424-877-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAR MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-583-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.