Active NPI
Peyman Banooni Medical Group, Inc
- Obstetrics & Gynecology Physician
- Gardena, CA
National Provider Identifier
1811497035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A75080
- Legal business name
- PEYMAN BANOONI MEDICAL GROUP, INC
- Practice address
- 1030 Gardena Blvd
Gardena, CA 90247-4956 - Phone
- (213) 413-2222
- NPI assigned
- Feb 14, 2018
- 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
- Mr. Peyman Banooni, M.D.
- Title
- Medical Director
- Phone
- (310) 625-4643
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | A75080 | CA | Primary |
Addresses
Primary practice location
1030 Gardena Blvd
Gardena, CA 90247-4956
Mailing address
269 S Beverly Dr
Suite 468
Beverly Hills, CA 90212-3851
National Provider Directory
National Provider Directory- Tax ID family
- Peyman Banooni Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Huntington Park, CA
- NPI 1093128688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Beverly Hills, CA
- NPI 1811002777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518566400000",
"number": "1811497035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S BEVERLY DR",
"address_2": "SUITE 468",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 GARDENA BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474956",
"telephone_number": "213-413-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEYMAN BANOONI MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A",
"authorized_official_last_name": "BANOONI",
"authorized_official_first_name": "PEYMAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-625-4643",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A75080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.