SAN JUDAS MEDICAL GROUP IPA (NPI# 1598928814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598928814 |
| Entity Type | Organization |
| Organization Name | SAN JUDAS MEDICAL GROUP IPA |
| Practice Address |
1075 N Western Ave Los Angeles CA 90029-2307 |
| Practice Telephone | 3239578787 |
| Mailing Telephone | 3239578787 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | DR. NEJAT ROSTAMI (PRESIDENT) |
| Authorized Official Telephone | 3239578787 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Street Address |
1075 N WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750415493 | Shu Feng Jung | Nurse Practitioner | 1075 N Western Ave, # 110, Los Angeles, CA 90029-2307 | 2007-03-15 |
| 1245576321 | Jae Yon Chung Dental Inc | Dentist | 1075 N Western Ave, Suite 102, Los Angeles, CA 90029-2307 | 2012-12-18 |
| 1972881043 | Michelle M Kwon | Pharmacist | 1075 N Western Ave, 117, Los Angeles, CA 90029-2307 | 2011-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518440668 | Hana Holistic Wellness - Acupuncture & Herbs | Health Maintenance Organization | 680 Wilshire Pl Ste 316, Los Angeles, CA 90005-3950 | 2018-09-13 |
| 1639619166 | Truvanta | Health Maintenance Organization | 1801 Century Park E Fl 24, Los Angeles, CA 90067-2302 | 2017-03-02 |
| 1427508480 | Chiropractic Centers | Health Maintenance Organization | 3821 E 1st St, Los Angeles, CA 90063-3601 | 2016-10-13 |
| 1386012391 | Cardinal Care Hospice Inc | Health Maintenance Organization | 1110 N Western Ave Ste 204, Los Angeles, CA 90029-1087 | 2015-09-08 |
| 1578961892 | L.a. Care | Health Maintenance Organization | 1055 W 7th St Fl 10, Los Angeles, CA 90017-2750 | 2014-12-18 |
| 1336548189 | Amanecer Community Counseling Service, A Non-profit Corporation | Health Maintenance Organization | 1200 Wilshire Blvd 200, 210, Suite 300, Los Angeles, CA 90017-1934 | 2014-08-18 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1093148652 | Mary Lou Rane Phd | Health Maintenance Organization | 10332 Eastborne Ave, Los Angeles, CA 90024-5350 | 2013-08-17 |
| 1760721708 | Dinooshmee Daewar | Health Maintenance Organization | 2008 N Las Palmas Ave, Los Angeles, CA 90068-3243 | 2013-02-12 |
| 1942563804 | Healthcare Medical Management Services, Inc. | Health Maintenance Organization | 1511 N Mariposa Ave Apt 6, Los Angeles, CA 90027-6227 | 2012-06-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on SAN JUDAS MEDICAL GROUP IPA.
| 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.