Clear Medical Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85245 Issued in CA

Legal business name

CLEAR MEDICAL INC.

Practice address

4560 Admiralty Way Ste 200
Marina del Rey, CA 90292-5425

Phone

(310) 306-7100

Fax

(301) 306-7107

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Abrishamy, MD

Title

Owner

Phone

(310) 306-7100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Shahram Shawn Abrishamy, M.D.

  • Family Medicine Physician
  • Marina del Rey, CA
  • NPI 1649492448
  Medicare reassignment

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1942442066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 200",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925425",
            "telephone_number": "310-306-7100",
            "fax_number": "301-306-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 200",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925425",
            "telephone_number": "310-306-7100",
            "fax_number": "301-306-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "ABRISHAMY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-306-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85245",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A85224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Choi, O.D., M.S.
• Justin Chow, PT
• Edward J. Chung, MD
• Kimberly Chyu, DDS
• Erica Lesley Clayton, CRNA
• Veronica Christiana Cleary, CADC-II, LMFT
• Clinical Social Work Corporation of Califronia
• Jeffrey Michael Colbert, M.D.
• Annette Comerchero
• Commons Clinic Medical Group, PC

• Family Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.