Active NPI
Optimize Medical Group, Inc
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
National Provider Identifier
1962849984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A108091
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
-
- Acute Care Nurse Practitioner
- Studio City, CA
- NPI 1538448949
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.