Bedside Gtube Replacement and Management

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

BEDSIDE GTUBE REPLACEMENT AND MANAGEMENT

Practice address

11429 Berendo Ave
Los Angeles, CA 90044-1202

Phone

(323) 200-4524

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John Sangmoah, PA

Title

Ceo/President

Phone

(323) 200-4524

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671235200000",
    "number": "1780179770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11429 BERENDO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441202",
            "telephone_number": "323-200-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11429 BERENDO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441202",
            "telephone_number": "323-200-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE GTUBE REPLACEMENT AND MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "SANGMOAH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "323-200-4524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fajima Bedran, LMFT
• Ani Bedros, MD
• Christina Bedrosian
• Mariam Bedrossian
• Sosse Bedrossian, NP
• Dennis Raye Bee
• Michelle Bee
• Tyler Bee, LMT, CMT
• Devon Macintyre Beechel, DC
• Julia Clare Beecher-Flad, LMFT

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.