PRIME 5 MEDICAL GROUP INC (NPI# 1154947695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154947695 |
| Entity Type | Organization |
| Organization Name | PRIME 5 MEDICAL GROUP INC |
| Practice Address |
8700 Beverly Blvd West Hollywood CA 90048-1804 |
| Mailing Address |
Po Box 6033 Beverly Hills CA 90212-1033 |
| Practice Telephone | 3104233000 |
| Mailing Telephone | 3107880044 |
| Mailing Fax Number | 3102773659 |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-06-21 |
| Authorized Official Name | DR. PEJMAN DAVID SHAMEKH (PRESIDENT) |
| Authorized Official Telephone | 3102799328 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BUSINESS LICENSE | C4602133 | 01 |
| Street Address |
8700 BEVERLY BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910983 | Denise A Barbuto | Specialist | 8700 Beverly Blvd, Rm 8725, West Hollywood, CA 90048-1804 | 2005-05-24 |
| 1609481688 | Shawn Younessi Md Inc | Internal Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-15 |
| 1447865860 | Elyssa Bangunan Rivero | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-11 |
| 1508471301 | Matthew Ryan Beckelman | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-09 |
| 1255941514 | Josias Cerritos Escobar | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-08-03 |
| 1841818945 | Jocelyn Chaing | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-06 |
| 1992322200 | Kessia Reis | Nurse Anesthetist, Certified Registered | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-02 |
| 1770108672 | Pegah Panirian | Podiatrist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-16 |
| 1891310934 | Steven Heer | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-15 |
| 1861017188 | Kim Eing Imada | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871912477 | Daniel Enrique Ortiz | Hospitalist | 8700 Beverly Blvd Bldg B220, West Hollywood, CA 90048-1804 | 2014-04-10 |
| 1891317236 | Beverly Hills Cardiology Hospital Services Apc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-05-08 |
| 1912553272 | Janvi Todai Md Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2019-08-13 |
| 1992288153 | Lauren Spaciano Do A Medical Corporation | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-09-12 |
| 1063994531 | Ian Roy Md Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-08-31 |
| 1265913149 | Donald No Md | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-08-28 |
| 1760963029 | Alyssa Austria Md Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-08-24 |
| 1376023051 | Apurva Akkad Md Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-08-21 |
| 1093292393 | Ramez Ghabour Do Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-07-19 |
| 1043796592 | Kavya H Manu Md Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2018-07-18 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.