Miracle Women's Medical Group Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A96648 Issued in CA

Legal business name

MIRACLE WOMEN'S MEDICAL GROUP INC

Practice address

7100 Van Nuys Blvd
Suite 113
Van Nuys, CA 91405-3063

Phone

(818) 909-0004

Fax

(818) 909-0008

NPI assigned

Jul 13, 2009

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Von Movassaghi

Title

Billing Manager

Phone

(949) 212-8339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Michael Eshaghian, M.D.

  • Obstetrics & Gynecology Physician
  • Encino, CA
  • NPI 1639297096
  Medicare reassignment
• Shiva Eshaghian, PA

  • Medical Physician Assistant
  • Beverly Hills, CA
  • NPI 1396071908
  Medicare reassignment
• Shariar Cohen-Gadol, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1013054865
  NPD (past)
• Daniel Eshaghian, M.D.

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1497015085
  NPD (past)
• Angelica Louise Hasson, FNP-C

  • Family Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1841978475
  NPD (past)
• Jenifer Rezende Sullivan, FNP

  • Family Nurse Practitioner
  • San Fernando, CA
  • NPI 1326501503
  NPD (past)
• Shahin Zohoori, M.D.

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1225414428
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1720217698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260185",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260185",
            "telephone_number": "949-212-8339",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 VAN NUYS BLVD",
            "address_2": "SUITE 113",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053063",
            "telephone_number": "818-909-0004",
            "fax_number": "818-909-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE WOMEN'S MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "MOVASSAGHI",
        "authorized_official_first_name": "VON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-212-8339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A96648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Margaret Mintz, OTR
• Essie Lyn Minzt
• Miracle Healing Hospice, Inc.
• Miracle Life Home Health Inc
• Miracle Touch Hospice
• Marianna Mirakyan
• Azucena Miranda
• Ivon Miranda
• Sofia Miranda
• Debra L. Mireles, N.P.

• Obstetrics & Gynecology Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.