Aghapy Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AGHAPY MEDICAL GROUP, INC

Practice address

12954 Hawthorne Blvd
101
Hawthorne, CA 90250-4418

Phone

(310) 219-1550

Fax

(310) 219-0723

NPI assigned

Apr 28, 2009

Last updated

Sep 5, 2012By 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

Ata O Mehrtash, M.D.

Title

President

Phone

(562) 531-3331

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1790929206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD",
            "address_2": "101",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-219-1550",
            "fax_number": "310-219-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD",
            "address_2": "101",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-219-1550",
            "fax_number": "310-219-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHAPY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MEHRTASH",
        "authorized_official_first_name": "ATA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-531-3331",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790929206",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Active Body Chiropractic Hawthorne
• Ade Medical and Equipments Suppliers, LLC
• Adeco Medical Distributors
• Leslie Adolf-Anokwute
• Ag Dental Partnership (Schnierow Dental Care)
• Aracely Aguilar
• Elisa Aguilar
• Jennyfer Diane Aguirre
• Leah Ahdoot, DMD
• Pearl N Ainabe, NP-C

• Family Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.