101 Family Medical Group,a Professional Corp - Medicare Primary Care in Canoga Park, CA

101 Family Medical Group,a Professional Corp is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Canoga Park, California. The current practice location for 101 Family Medical Group,a Professional Corp is 22030 Sherman Way Ste 101, Canoga Park, California. For appointments, you can reach them via phone at (818) 312-9101. The mailing address for 101 Family Medical Group,a Professional Corp is 7201 Rockridge Ter, West Hills, California and phone number is (818) 312-9101.

101 Family Medical Group,a Professional Corp is licensed to practice in California (license number A85704). The clinic also participates in the medicare program and its NPI number is 1174856348. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 312-9101.

Contact Information

101 Family Medical Group,a Professional Corp
22030 Sherman Way Ste 101
Canoga Park
CA 91303-1844
(818) 312-9101
(818) 312-9100

Primary Care Clinic Profile

Full Name101 Family Medical Group,a Professional Corp
SpecialityClinic/Center
Location22030 Sherman Way Ste 101, Canoga Park, California
Authorized Official Name and PositionHessam Aazami (MEDICAL DIRECTOR)
Authorized Official Contact8183129101
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
101 Family Medical Group,a Professional Corp
7201 Rockridge Ter
West Hills
CA 91307-1265

Ph: (818) 312-9101
101 Family Medical Group,a Professional Corp
22030 Sherman Way Ste 101
Canoga Park
CA 91303-1844

Ph: (818) 312-9101

NPI Details:

NPI Number1174856348
Provider Enumeration Date09/06/2009
Last Update Date04/07/2011

Medicare PECOS Information:

Medicare PECOS PAC ID5890831580
Medicare Enrollment IDO20091010000007

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Medical Identifiers

Medical identifiers for 101 Family Medical Group,a Professional Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174856348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care A85704 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 101 Family Medical Group,a Professional Corp acts as a billing entity for following providers:
Provider NameHessam Aazami
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1144299173
PECOS PAC ID: 1052307709
Enrollment ID: I20040420001733

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Provider NameJamsheed Akhavan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073661807
PECOS PAC ID: 4183813512
Enrollment ID: I20110114000845

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