Active NPI
Hope Geriatric Medical Center Inc
- Geriatric Medicine (Family Medicine) Physician
- Laguna Niguel, CA
National Provider Identifier
1811455967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- HOPE GERIATRIC MEDICAL CENTER INC
- Practice address
- 9 Coursan
Laguna Niguel, CA 92677-8902 - Phone
- (310) 869-2151
- NPI assigned
- Mar 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omid Mousavi Behbahani, MD
- Title
- Ceo
- Phone
- (310) 869-2151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
9 Coursan
Laguna Niguel, CA 92677-8902
Mailing address
9 Coursan
Laguna Niguel, CA 92677-8902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043444029 | Other | CA | BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566172800000",
"number": "1811455967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 COURSAN",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926778902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 COURSAN",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926778902",
"telephone_number": "310-869-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE GERIATRIC MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-07",
"last_updated": "2019-08-19",
"status": "A",
"authorized_official_last_name": "MOUSAVI BEHBAHANI",
"authorized_official_first_name": "OMID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-869-2151",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1043444029",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.