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CRESCENT PHYSICIAN GROUP
NPI 1952014698
Clinic/Center - Medical Specialty in Los Angeles, CA

Active since December 27, 2022
2784 CASIANO RD, LOS ANGELES, CA 90077(310) 409-6559(213) 745-0152 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crescent Physician Group NPPES

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

CRESCENT PHYSICIAN GROUP (NPI 1952014698) is a healthcare organization registered as a medical specialty in Los Angeles, California and active in the NPI registry since December 2022. The organization lists Michael Yadegari, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952014698
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCRESCENT PHYSICIAN GROUP
Location Address2784 CASIANO RDLos Angeles, CA 90077-1524
Mailing Address601 N Crescent DrBeverly Hills, CA 90210-3329 · (310) 409-6559 · Fax (213) 745-0152
Phone(310) 409-6559
Fax(213) 745-0152
Organization SubpartNo
Authorized OfficialMichael YadegariCeo · (310) 409-6559
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1952014698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/Center · EndoscopyTaxonomy 261QE0800X
2784 CASIANO RD, Los Angeles, CA 90077
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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 Crescent Physician Group's NPI number?

The NPI number for Crescent Physician Group is 1952014698. It was assigned to this organization in the NPPES registry on December 27, 2022.

Where is Crescent Physician Group located?

Crescent Physician Group is located at 2784 Casiano Rd, Los Angeles, CA 90077. The listed phone number is (310) 409-6559.

What is Crescent Physician Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Crescent Physician Group was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.