Organization Active NPI

Health Care Angels Medical Clinic Inc

  • General Practice Physician
  • North Hills, CA
National Provider Identifier
1720269194
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A64183 Issued in CA
Legal business name
HEALTH CARE ANGELS MEDICAL CLINIC INC
Doing business as
HEALTHCARE ANGELS MEDICAL CLINIC, INC.
Practice address
9146 Sepulveda Blvd Ste B
North Hills, CA 91343-6948
Phone
(818) 920-1133
Fax
(818) 893-6030
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Dr. Ashkan Eliahou Sefaradi, MDNPI 1861802548
Title
Owner/Authorized Official
Phone
(310) 592-2522

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A64183 CA Primary

Addresses

Primary practice location

9146 Sepulveda Blvd Ste B
North Hills, CA 91343-6948

Mailing address

9146 Sepulveda Blvd Ste B
North Hills, CA 91343-6948
Phone (818) 920-1133

Other identifiers 2

IdentifierTypeStateIssuer
00A641830MedicaidCA
W17112OtherCAMEDICARE GROUP ID

Other names 1

  • HEALTHCARE ANGELS MEDICAL CLINIC, INC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001391 CA Part B Supplier - Clinic/Group Practice 5890781728 Receives reassigned benefits from 2 practitioners
Practice locations: North Hills, CA

National Provider Directory

National Provider Directory

Locations

9146 Sepulveda Blvd
Ste B
North Hills, CA 91343
Phone (818) 920-1133

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1720269194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 SEPULVEDA BLVD STE B",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436948",
            "telephone_number": "818-920-1133",
            "fax_number": "818-893-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9146 SEPULVEDA BLVD STE B",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436948",
            "telephone_number": "818-920-1133",
            "fax_number": "818-893-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE ANGELS MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "SEFARADI",
        "authorized_official_first_name": "ASHKAN",
        "authorized_official_middle_name": "ELIAHOU",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-592-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A64183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W17112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHCARE ANGELS MEDICAL CLINIC, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.