Primary Care Consulting a Medical Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIMARY CARE CONSULTING A MEDICAL CORP

Practice address

1100 S Robertson Blvd
Los Angeles, CA 90035-1404

Phone

(310) 666-1915

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By 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

Pedram KhorsandiNPI 1861997736

Title

Ceo

Phone

(310) 666-1916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Pedram Joseph Khorsandi, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1861997736
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1760297964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351404",
            "telephone_number": "310-666-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CONSULTING A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "KHORSANDI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-666-1916"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Manuel Prietto, L.C.S.W.
• Alyssa C Prigge
• Yigal Prilutsky, D.M.D.
• Prim Health Services Inc
• Prima Pain Therapy Group, Inc
• Primary Care Health Clinic
• Primary Group Solutions Foundation Inc
• Primary Group Solutions, LLC
• Primary Hospice Care Services, Inc.
• Caitlyn Primas

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.