Sevo Gas, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A85856 Issued in CA

Legal business name

SEVO GAS, INC

Practice address

1210 Tellem Dr
Pacific Palisades, CA 90272-2246

Phone

(888) 732-6468

Fax

(888) 732-6468

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Amir Mansoor Khazaielinajafabadi, M.D.

Title

President

Phone

(888) 732-6468

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1972996262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 TELLEM DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722246",
            "telephone_number": "888-732-6468",
            "fax_number": "888-732-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 TELLEM DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722246",
            "telephone_number": "888-732-6468",
            "fax_number": "888-732-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVO GAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "KHAZAIELINAJAFABADI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "MANSOOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-732-6468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A85856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A858560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.