Miracle Mile Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A71831 Issued in CA

Legal business name

MIRACLE MILE PEDIATRICS

Practice address

6221 Wilshire Blvd
Suite 215
Los Angeles, CA 90048-5201

Phone

(323) 938-7294

Fax

(323) 954-9295

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Monica Asnani, M.D.NPI 1457352262

Title

President

Phone

(323) 938-7294

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Monica Asnani, M.D.

  • Pediatrics Physician
  • San Fernando, CA
  • NPI 1457352262
  NPD (past) Authorized official
• Carly Alexander, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1063770980
  NPD (past)
• David A. Bluestone, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1740329804
  NPD (past)
• Saachi Patel, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Rockingham, NC
  • NPI 1841721818
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1962874131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-938-7294",
            "fax_number": "323-954-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-938-7294",
            "fax_number": "323-954-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MILE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "ASNANI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-938-7294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A71831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Mile Hospice Care, Inc.
• Miracle Mile Medical Center for Dermatology and Cosmetic Surgery, Inc
• Miracle Mile Medical Center, LLC
• Miracle Mile Multispecialty Group
• Miracle Mile Namor Rcfe LLC
• Miracle Mile Post Acute LLC
• Miracle Mile Surgery Center
• Miracle Surgery Center,
• Miracle Touch Urgent Care
• Miracles in Motion Speech and Langua

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

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