Organization Active NPI

Optimize Medical Group, Inc

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1962849984
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A108091 Issued in CA
Legal business name
OPTIMIZE MEDICAL GROUP, INC
Practice address
11110 Ohio Ave
108
Los Angeles, CA 90025-3388
Phone
(310) 614-2024
Fax
(310) 473-5077
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Dr. Roberto Contreras II, M.D.
Title
Director/Vice President
Phone
(310) 614-2024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A108091 CA Primary

Addresses

Primary practice location

11110 Ohio Ave
108
Los Angeles, CA 90025-3388

Mailing address

11110 Ohio Ave
Suite 108
Los Angeles, CA 90025-3388
Phone (310) 614-2024

National Provider Directory

National Provider Directory

Locations

11110 Ohio Ave
Ste 108
Los Angeles, CA 90025
Phone (310) 473-7130

2255 Honolulu Ave
#2A
Montrose, CA 91020
Phone (310) 614-2024

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1962849984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 OHIO AVE",
            "address_2": "SUITE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253388",
            "telephone_number": "310-614-2024",
            "fax_number": "310-473-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 OHIO AVE",
            "address_2": "108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253388",
            "telephone_number": "310-614-2024",
            "fax_number": "310-473-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "310-614-2024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A108091",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2015; 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.