| Supportive Care Specialists | |
|
1171 S Robertson Blvd Ste 242 Los Angeles CA 90035-1403 | |
| (626) 765-4302 | |
| (310) 657-8728 |
| Full Name | Supportive Care Specialists |
|---|---|
| Speciality | Clinic/Center |
| Location | 1171 S Robertson Blvd Ste 242, Los Angeles, California |
| Authorized Official Name and Position | Shahriar Jarchi (OWNER/ PRESIDENT) |
| Authorized Official Contact | 6267654302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Specialists 1171 S Robertson Blvd Ste 242 Los Angeles CA 90035-1403 Ph: (626) 765-4302 | Supportive Care Specialists 1171 S Robertson Blvd Ste 242 Los Angeles CA 90035-1403 Ph: (626) 765-4302 |
| NPI Number | 1518705771 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Medicare PECOS PAC ID | 6204376841 |
|---|---|
| Medicare Enrollment ID | O20240910000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518705771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (NU) | Secondary |
| Provider Name | Purvi Rashmikant Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235217720 PECOS PAC ID: 6305852831 Enrollment ID: I20060221000728 |
| Provider Name | Jinnu a Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093804767 PECOS PAC ID: 5890794614 Enrollment ID: I20061205000386 |
| Provider Name | Shahriar Jarchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417008772 PECOS PAC ID: 2062594310 Enrollment ID: I20080125000506 |
| Provider Name | Rishi N Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922208982 PECOS PAC ID: 9537327861 Enrollment ID: I20120216000126 |
| Provider Name | Danah Majorie F Lucasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669030987 PECOS PAC ID: 6800228164 Enrollment ID: I20191107002383 |
| Provider Name | Nadin a Faidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831542158 PECOS PAC ID: 3577988088 Enrollment ID: I20200730003398 |
| Provider Name | Sara Jabeen Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790372829 PECOS PAC ID: 5092111989 Enrollment ID: I20210831003560 |
| Provider Name | Virpal K Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245736842 PECOS PAC ID: 0244638583 Enrollment ID: I20211018001118 |
| Provider Name | Merian M Apolinario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881347516 PECOS PAC ID: 5092194993 Enrollment ID: I20220623002227 |
| Provider Name | Christopher James Yan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285345124 PECOS PAC ID: 2264897917 Enrollment ID: I20230502001117 |
| Provider Name | Mary Joy Mendoza Caritos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871208009 PECOS PAC ID: 6002273380 Enrollment ID: I20230531003186 |
| Provider Name | Tam Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073218186 PECOS PAC ID: 0840650909 Enrollment ID: I20230720002320 |
| Provider Name | Josefina Maria Conde Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962071118 PECOS PAC ID: 7012396351 Enrollment ID: I20231030001881 |
| Provider Name | Mara Jasmin Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619721578 PECOS PAC ID: 8729514120 Enrollment ID: I20241209003150 |
| Provider Name | Salve Romasanta Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518247188 PECOS PAC ID: 3072049386 Enrollment ID: I20241210004065 |
| Provider Name | Ala Mostapha Arafa-price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043751274 PECOS PAC ID: 0547690273 Enrollment ID: I20241224000384 |
| Provider Name | Houman Badrzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295380517 PECOS PAC ID: 7719399781 Enrollment ID: I20241226001779 |
| Provider Name | Jennifer Destreza Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447806021 PECOS PAC ID: 7618404856 Enrollment ID: I20241230000455 |
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