Organization Active NPI

Satar Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1962958082
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A33919 Issued in CA
Legal business name
SATAR MEDICAL GROUP INC
Practice address
713 One and Half N Ridgewood PL
Los Angeles, CA 90038-3105
Phone
(323) 464-1550
Fax
(323) 464-1557
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. Yousef Mehrabi, M.D.NPI 1083693915
Title
President
Phone
(323) 464-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A33919 CA Primary

Addresses

Primary practice location

713 One and Half N Ridgewood PL
Los Angeles, CA 90038-3105

Mailing address

713 One and Half N Ridgewood PL
Los Angeles, CA 90038
Phone (323) 464-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929000499 CA Part B Supplier - Clinic/Group Practice 1850688268 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

713 N Ridgewood Pl
Los Angeles, CA 90038
Phone (323) 380-5140

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": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1962958082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ONE AND HALF N RIDGEWOOD PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90038",
            "telephone_number": "323-464-1550",
            "fax_number": "323-464-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 ONE AND HALF N RIDGEWOOD PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383105",
            "telephone_number": "323-464-1550",
            "fax_number": "323-464-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATAR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "MEHRABI",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-464-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33919",
            "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 Aug 29, 2016; 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.