Organization Active NPI

South Bay Medical Partners, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Manhattan Beach, CA
National Provider Identifier
1932513108
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A92674 Issued in CA
Legal business name
SOUTH BAY MEDICAL PARTNERS, INC
Practice address
562 33Rd St
Manhattan Beach, CA 90266-3406
Phone
(310) 545-5357
Fax
(323) 320-4224
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ziba Jalali, M.D.
Title
President
Phone
(310) 666-5890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82913 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A92674 CA Primary

Addresses

Primary practice location

562 33Rd St
Manhattan Beach, CA 90266-3406

Mailing address

562 33Rd St
Manhattan Beach, CA 90266-3406
Phone (310) 545-5357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1932513108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 33RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663406",
            "telephone_number": "310-545-5357",
            "fax_number": "323-320-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 33RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663406",
            "telephone_number": "310-545-5357",
            "fax_number": "323-320-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MEDICAL PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "ZIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-5890",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82913",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A92674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.