Individual provider Active NPI

Mohammad H Emamian, M.D.

  • Obstetrics & Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1780780577
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A47957 Issued in CA
Practice address
1045 Atlantic Ave
Suite 508
Long Beach, CA 90813-3408
Phone
(562) 437-1882
Fax
(562) 437-5412
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A47957 CA
Obstetrics & Gynecology Physician 207V00000X A47957 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave
Suite 508
Long Beach, CA 90813-3408

Mailing address

1045 Atlantic Ave
Suite 508
Long Beach, CA 90813-3408
Phone (562) 437-1882

Other practice location 1

200 E Anaheim St
Wilmington, CA 90744-4516
Phone (310) 522-8700

Other practice location 2

1403 Lomita Blvd
Harbor City, CA 90710-2076
Phone (310) 784-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000214 CA Practitioner - Obstetrics/Gynecology 7618157025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A47957CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reproductive Associates Medical Group, Inc. Specialist CurrentSince Apr 4, 1988 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1045 Atlantic Ave
Ste 508
Long Beach, CA 90813
Phone (562) 437-1882

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: memamianmd18484@direct.memorialcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1780780577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 508",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-437-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 508",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-437-1882",
            "fax_number": "562-437-5412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Anaheim St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "CA",
            "postal_code": "907444516",
            "country_code": "US",
            "telephone_number": "310-522-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1403 Lomita Blvd",
            "address_purpose": "LOCATION",
            "city": "Harbor City",
            "state": "CA",
            "postal_code": "907102076",
            "country_code": "US",
            "telephone_number": "310-784-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMAMIAN",
        "first_name": "MOHAMMAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A47957",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A47957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.