Active NPI
Safe Health Medical Clinic a Professional Corporation
Doing business as Safe Health Medical Clinic
- General Practice Physician
- Los Angeles, CA
National Provider Identifier
1881972396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A25945
- Legal business name
- SAFE HEALTH MEDICAL CLINIC A PROFESSIONAL CORPORATION
- Doing business as
- Safe Health Medical Clinic
- Practice address
- 1211 N Vermont Ave
Suite 207
Los Angeles, CA 90029-1748 - Phone
- (323) 664-4044
- NPI assigned
- Aug 1, 2011
- 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
- Prateep R. Mehta, M.D.
- Title
- President
- Phone
- (323) 664-4044
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A25945 | CA | |
| General Practice Physician | 208D00000X | A25945 | CA | Primary |
Addresses
Primary practice location
1211 N Vermont Ave
Suite 207
Los Angeles, CA 90029-1748
Mailing address
1211 N Vermont Ave
Suite 207
Los Angeles, CA 90029-1748
Phone (323) 664-4044
Other names 1
- Safe Health Medical Clinic
National Provider Directory
National Provider DirectoryLocations
1211 N Vermont Ave
Ste 207
Los Angeles, CA 90029
Phone (323) 426-9480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322524800000",
"number": "1881972396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N VERMONT AVE",
"address_2": "SUITE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291748",
"telephone_number": "323-664-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N VERMONT AVE",
"address_2": "SUITE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291748",
"telephone_number": "323-664-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HEALTH MEDICAL CLINIC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-01",
"last_updated": "2011-11-29",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "PRATEEP",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-664-4044",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A25945",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A25945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Safe Health Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.