Organization Active NPI

Hope Geriatric Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Niguel, CA
National Provider Identifier
1811455967
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
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

Updated by the provider on Aug 19, 2019

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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1043444029OtherCABLUE CROSS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.