AEG MEDICAL INC
NPI 1154293447
Clinic/Center - Multi-Specialty in Santa Monica, CA

Active since September 18, 2025
1626 MONTANA AVE STE 629, SANTA MONICA, CA 90403(310) 974-8767 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aeg Medical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AEG MEDICAL INC (NPI 1154293447) is a healthcare organization registered as a multi-specialty in Santa Monica, California and active in the NPI registry since September 2025. The organization maintains a secondary practice location in Redding and lists Ali Golshan, Owner, as its authorized official.

NPPES Registry Identity

NPI1154293447
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAEG MEDICAL INC
Location Address1626 MONTANA AVE STE 629Santa Monica, CA 90403-1808
Mailing Address1626 Montana Ave Ste 629Santa Monica, CA 90403-1808
Organization SubpartNo
Authorized OfficialAli GolshanOwner · (916) 342-6460
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1154293447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1626 MONTANA AVE STE 629, Santa Monica, CA 90403

Secondary Practice Location 1

Location 12701 Old Eureka Way Ste 2HRedding, CA 96001-0228 · Phone (310) 974-8767

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aeg Medical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aeg Medical Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Radiology
NPI 1114183993
416 N BEDFORD DR STE 306
Beverly Hills, CA 90210
(310) 974-8767
✔ PECOS✔ Accepts Medicare5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aeg Medical Inc's NPI number?

The NPI number for Aeg Medical Inc is 1154293447. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Aeg Medical Inc located?

Aeg Medical Inc is located at 1626 Montana Ave Ste 629, Santa Monica, CA 90403. The listed phone number is (310) 974-8767.

What is Aeg Medical Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Aeg Medical Inc enrolled in Medicare?

Yes. Aeg Medical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aeg Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Aeg Medical Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aeg Medical Inc was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.