Crescent Physician Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CRESCENT PHYSICIAN GROUP

Practice address

2784 Casiano Rd
Los Angeles, CA 90077-1524

Phone

(310) 409-6559

Fax

(213) 745-0152

NPI assigned

Dec 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Yadegari, MDNPI 1023293016

Title

Ceo

Phone

(310) 409-6559

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Yadegari, M.D

  • Gastroenterology Physician
  • Van Nuys, CA
  • NPI 1023293016
  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1952014698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CRESCENT DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103329",
            "telephone_number": "310-409-6559",
            "fax_number": "213-745-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 CASIANO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771524",
            "telephone_number": "310-409-6559",
            "fax_number": "213-745-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "YADEGARI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-409-6559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crenshaw Pharmcare Inc
• Crenshaw West Adams Leimert Consortiem
• Kaira Crenshaw, OTR/L
• Keianna Crenshaw
• Nicole T Crenshaw
• Crescent Recovery House
• Romana Crespo-Belarde, MSW, LCSW
• Adriana Crespo, LCSW
• Michelle Crespo, LCSW
• Michelle Crespo, MD, MPH

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.