Active NPI
Pediatric Gems, P.C.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1891479812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC GEMS, P.C.
- Practice address
- 955 Carrillo Dr Ste 210
Los Angeles, CA 90048-5400 - Phone
- (310) 888-7778
- Fax
- (310) 888-7732
- NPI assigned
- Jun 12, 2023
- 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
- Dr. Edmond G Sarraf, MD
- Title
- MD/ Ceo
- Phone
- (310) 497-2161
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
955 Carrillo Dr Ste 210
Los Angeles, CA 90048-5400
Mailing address
955 Carrillo Dr Ste 210
Los Angeles, CA 90048-5400
Phone (310) 888-7778
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Los Angeles, CA
- NPI 1295874022
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1891479812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 CARRILLO DR STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485400",
"telephone_number": "310-888-7778",
"fax_number": "310-888-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 CARRILLO DR STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485400",
"telephone_number": "310-888-7778",
"fax_number": "310-888-7732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC GEMS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-10",
"status": "A",
"authorized_official_last_name": "SARRAF",
"authorized_official_first_name": "EDMOND",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MD/ CEO",
"authorized_official_telephone_number": "310-497-2161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Pediatric and Family Medical Center
- Pediatric and Family Medical Center
- Pediatric and Family Medical Center
- Pediatric and Family Medical Center
- Pediatric Care Pharmacy Inc
- Pediatric Ophthalmology and Strabismus Specialists
- Pediatric Therapy Playhouse
- Tiffany Prugpichailers Pedigo, M.D.
- Nathaniel Mark Pedley, MD
- Gary Pedneault, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.