Organization Active NPI

Said Rahban MD, Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1922297415
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A26769 Issued in CA
Legal business name
SAID RAHBAN MD, INC.
Practice address
6333 Wilshire Blvd
Suite 414
Los Angeles, CA 90048-5702
Phone
(323) 852-1751
Fax
(323) 852-1099
NPI assigned
Oct 19, 2007
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Said Rahban, MDNPI 1205902202
Title
Owner
Phone
(323) 852-1751

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)CodeLicenseStatePrimary
Specialist 174400000X A26769 CA Primary

Addresses

Primary practice location

6333 Wilshire Blvd
Suite 414
Los Angeles, CA 90048-5702

Mailing address

6333 Wilshire Blvd
Suite 414
Los Angeles, CA 90048-5702
Phone (323) 852-1751

Other identifiers 1

IdentifierTypeStateIssuer
00A267690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000230 CA Part B Supplier - Clinic/Group Practice 8123289758 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

6333 Wilshire Blvd
Ste 414
Los Angeles, CA 90048
Phone (310) 930-5033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1922297415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "address_2": "SUITE 414",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-852-1751",
            "fax_number": "323-852-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "address_2": "SUITE 414",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-852-1751",
            "fax_number": "323-852-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAID RAHBAN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "RAHBAN",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-852-1751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A26769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A267690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.