MIRACLE MILE MEDICAL GROUP
NPI 1871078972
Clinic/Center - Multi-Specialty in Los Angeles, CA
About Miracle Mile Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRACLE MILE MEDICAL GROUP (NPI 1871078972) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since September 2018. The organization lists Shahbaz Farnad, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miracle Mile Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Miracle Mile Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Shahbaz Farnad MD Professional Corporation's NPI number?
The NPI number for Shahbaz Farnad MD Professional Corporation is 1871078972. It was assigned to this organization in the NPPES registry on September 25, 2018. The provider is doing business as Miracle Mile Medical Group.
Where is Shahbaz Farnad MD Professional Corporation located?
Shahbaz Farnad MD Professional Corporation is located at 5757 Wilshire Blvd Promenade 2, Los Angeles, CA 90036. The listed phone number is (310) 383-1400.
What is Shahbaz Farnad MD Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Shahbaz Farnad MD Professional Corporation enrolled in Medicare?
Yes. Shahbaz Farnad MD Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shahbaz Farnad MD Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to Shahbaz Farnad MD Professional 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 Obstetrics/Gynecology (3), Otolaryngology (2) and Family Practice (1). Of these, 2 practice at this address and 6 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 Shahbaz Farnad MD Professional Corporation was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Miracle Mile Medical Group · NPI 1871078972
Multi-Specialty organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since September 25, 2018.
## Identity
- **NPI:** 1871078972 (Entity type: Organization)
- **Enumerated:** September 25, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Shahbaz Farnad Md Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Shahbaz Farnad, OWNER
## Practice location
- **Address:** 5757 WILSHIRE BLVD, PROMENADE 2, Los Angeles, CA 90036
- **Phone:** (310) 383-1400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (3), Otolaryngology (2), Family Practice (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871078972) · Data from the CMS NPPES public registry.