DR. ERIC CHAGHOURI M.D., A PROFESSIONAL MEDICAL CORPORATION
NPI 1285395269
Clinic/Center in Los Angeles, CA

Active since January 03, 2022
11150 W OLYMPIC BLVD STE 775, LOS ANGELES, CA 90064(424) 307-9503 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Dr. Eric Chaghouri M.d., A Professional Medical Corporation NPPES

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

DR. ERIC CHAGHOURI M.D., A PROFESSIONAL MEDICAL CORPORATION (NPI 1285395269), doing business as Lucid Wellness Center, is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since January 2022. The organization lists Eric Chaghouri, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285395269
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDR. ERIC CHAGHOURI M.D., A PROFESSIONAL MEDICAL CORPORATION
Location Address11150 W OLYMPIC BLVD STE 775Los Angeles, CA 90064-1850
Mailing Address11150 W Olympic Blvd Ste 775Los Angeles, CA 90064-1850 · (424) 307-9503
Organization SubpartNo
Authorized OfficialEric ChaghouriCeo · (310) 850-8657
Enumeration DateJanuary 3, 2022
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1285395269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
11150 W OLYMPIC BLVD STE 775, Los Angeles, CA 90064

Other Names 2

Doing Business AsLucid Wellness Center
Doing Business AsMindhealthmd

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Chaghouri M.d., A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Dr. Eric Chaghouri M.D., A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1548037799
11150 W OLYMPIC BLVD STE 780
Los Angeles, CA 90064
(213) 721-1571
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104655679
1746 ABBOT KINNEY BLVD
Venice, CA 90291
(310) 945-2734
✔ PECOS3.8 mi
Nurse Practitioner
NPI 1508599663
8500 WILSHIRE BLVD STE 103
Beverly Hills, CA 90211
(424) 738-1993
✔ PECOS4.0 mi
Psychiatry
NPI 1558466342
5105 W GOLDLEAF CIR
Los Angeles, CA 90056
(909) 919-9296
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1578377644
2830 W 235TH ST APT 4
Torrance, CA 90505
(310) 415-9153
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1871313171
1725 S SAN GABRIEL BLVD APT A
San Gabriel, CA 91776
(626) 625-9295
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1205636354
1907 COLUMBIA ST APT 308
San Diego, CA 92101
(559) 776-8864
✔ PECOS✔ Accepts Medicare117 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 Dr. Eric Chaghouri M.D., A Professional Medical Corporation's NPI number?

The NPI number for Dr. Eric Chaghouri M.D., A Professional Medical Corporation is 1285395269. It was assigned to this organization in the NPPES registry on January 3, 2022. The provider is doing business as Lucid Wellness Center and MindHealthMD.

Where is Dr. Eric Chaghouri M.D., A Professional Medical Corporation located?

Dr. Eric Chaghouri M.D., A Professional Medical Corporation is located at 11150 W Olympic Blvd Ste 775, Los Angeles, CA 90064. The listed phone number is (424) 307-9503.

What is Dr. Eric Chaghouri M.D., A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Dr. Eric Chaghouri M.D., A Professional Medical Corporation enrolled in Medicare?

Yes. Dr. Eric Chaghouri M.D., A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Eric Chaghouri M.D., A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Dr. Eric Chaghouri M.D., A Professional Medical Corporation. 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. The largest specialties are Nurse Practitioner (6) and Psychiatry (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Eric Chaghouri M.D., A Professional Medical Corporation was last updated on October 3, 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.