Organization Active NPI

Jamshid Maddahi, MD, Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1720110349
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A031808 Issued in CA
Legal business name
JAMSHID MADDAHI, MD, INC.
Practice address
11859 Wilshire Blvd Ste 110
Los Angeles, CA 90025-6600
Phone
(310) 824-4991
Fax
(310) 824-7082
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Authorized official

Name
Mrs. Angela Maddahi
Title
Office Manager
Phone
(310) 824-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A031808 CA Primary

Addresses

Primary practice location

11859 Wilshire Blvd Ste 110
Los Angeles, CA 90025-6600

Mailing address

100 UCLA Medical PLZ # 410
Los Angeles, CA 90095-7064
Phone (310) 824-4991

Other names 1

  • Los Angeles Cardiovascular Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamshid Maddahi MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1720110349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ # 410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957064",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 WILSHIRE BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256600",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMSHID MADDAHI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "MADDAHI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-824-4991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A031808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Cardiovascular 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 Sep 15, 2017; 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.