Persepolis Group LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PERSEPOLIS GROUP LLC

Practice address

18400 US Highway 18
Suite B
Apple Valley, CA 92307-2306

Phone

(760) 810-7590

Fax

(760) 810-7593

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Pantea Ilbeigi, JD

Title

Administrative Manager

Phone

(973) 303-2848

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Apple Valley Outpatient Surgical CenterCCN 05C0001982

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Mersedeh Karimian, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Apple Valley, CA
  • NPI 1952516304
  NPD (past)

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1801185665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD",
            "address_2": "PMB#397",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "telephone_number": "760-242-3939",
            "fax_number": "760-810-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-810-7590",
            "fax_number": "760-810-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEPOLIS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "ILBEIGI",
        "authorized_official_first_name": "PANTEA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "973-303-2848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jasmine Perez
• Performance Medical Group
• Heather A Perkins
• Shaneekwa Shaunte Perkins, DPM
• Erika Perrine
• Jasmine Persley
• Michael Bart Pesce, MD
• Peter Fischl, MD, Inc.
• Edward J Peterson
• Laura S Peterson, FNP

• Ambulatory Surgical Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.