La Jolla Medical Group Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A103993 Issued in CA

Legal business name

LA JOLLA MEDICAL GROUP INC

Practice address

6221 Wilshire Blvd
Suite 509
Los Angeles, CA 90048-5201

Phone

(323) 653-6431

Fax

(323) 653-3895

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Masha J Livhits, M.D.NPI 1659566875

Title

President

Phone

(323) 653-6431

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Masha J. Livhits, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1659566875
  Medicare reassignment Care Compare group NPD Authorized official
• David Charles Remy, MD

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1508131509

  CA, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Garry Tumin, M.D.

  • Adult Medicine Physician
  • Los Angeles, CA
  • NPI 1598783144
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1811385230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 509",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-653-6431",
            "fax_number": "323-653-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 509",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-653-6431",
            "fax_number": "323-653-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "LIVHITS",
        "authorized_official_first_name": "MASHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-653-6431",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A103993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Herbs & Acupuncture, an Integrative Medical Corp. (Los Angeles Integrative Trauma Healing Center)
• La Home Assistance LLC
• La Home Care Experts, Inc
• La Hospice
• La Huntington Healthcare LLC (Huntington Healthcare Center)
• Denise Maria La Lande, LCSW
• La Laser Center PC, a Professional Medical Corporation (Skin and Cancer Institute - Westwood)
• La Lee OBGYN Medical Associate
• Gabrielle A La Madrid
• La Medical Imaging,LLC

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.