Active NPI
Jamshid Maddahi, MD, Inc.
- Specialist
- Los Angeles, CA
National Provider Identifier
1720110349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A031808
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Jamshid Maddahi MD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Beverly Hills, CA
- NPI 1790714426
-
- Specialist
- Beverly Hills, CA
- NPI 1265700272
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.