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SAN JUDAS MEDICAL GROUP
NPI 1609913441
Specialist in Los Angeles, CA

Active since January 31, 2007
2972 WILSHIRE BLVD, LOS ANGELES, CA 90010(213) 484-0000(213) 387-0011 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Judas Medical Group NPPES

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

SAN JUDAS MEDICAL GROUP (NPI 1609913441) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Nejat Rostami, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1609913441
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEJAT ROSTAMI MEDICAL GROUP INC
Location Address2972 WILSHIRE BLVDLos Angeles, CA 90010-1101
Mailing Address2972 Wilshire BlvdLos Angeles, CA 90010-1101 · (213) 484-0000 · Fax (213) 387-0011
Phone(213) 484-0000
Fax(213) 387-0011
Organization SubpartNo
Authorized OfficialNejat RostamiMedical Director · (213) 484-0000
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 28, 2015
✔ NPI 1609913441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A48731
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2972 WILSHIRE BLVD, Los Angeles, CA 90010
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Other Names 1

Doing Business AsSan Judas Medical Group

Other Identifiers 2

MedicaidGR0055560CA
Medicare ID-Type UnspecifiedW13920CA · Medicare Group Provider

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JUDAS COMMUNITY HEALTH CENTER, INC
Clinic/Center
2972 WILSHIRE BLVD
LOS ANGELES, CA 90010
Los Angeles County (213) 484-0000
MARIA CRISTINA DASILVA
Nurse Practitioner (Family)
2972 WILSHIRE BLVD
LOS ANGELES, CA 90010
Los Angeles County (213) 484-0000

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 Nejat Rostami Medical Group Inc's NPI number?

The NPI number for Nejat Rostami Medical Group Inc is 1609913441. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as San Judas Medical Group.

Where is Nejat Rostami Medical Group Inc located?

Nejat Rostami Medical Group Inc is located at 2972 Wilshire Blvd, Los Angeles, CA 90010. The listed phone number is (213) 484-0000.

What is Nejat Rostami Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Nejat Rostami Medical Group Inc was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.