Brentwood Medical Group a Professional Medical Corp
NPI 1720322415 · Internal Medicine Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brentwood Medical Group a Professional Medical Corp is a Internal Medicine Physician organization in Los Angeles, CA (NPI 1720322415).
Provider details
- NPI number
- 1720322415
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Javid Tavari, President(310) 696-0101
- License
- 20A6273 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2018-02-26
Frequently asked questions
- What is Brentwood Medical Group a Professional Medical Corp's NPI number?
- Brentwood Medical Group a Professional Medical Corp's National Provider Identifier (NPI) is 1720322415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brentwood Medical Group a Professional Medical Corp?
- Brentwood Medical Group a Professional Medical Corp is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Brentwood Medical Group a Professional Medical Corp located?
- Brentwood Medical Group a Professional Medical Corp's practice location on file with NPPES is 11645 Wilshire Blvd, Los Angeles, CA 90025-1708.
- What is Brentwood Medical Group a Professional Medical Corp's phone number?
- The practice phone number listed in the NPPES registry for Brentwood Medical Group a Professional Medical Corp is (310) 696-0101.
- Does Brentwood Medical Group a Professional Medical Corp accept Medicare?
- Brentwood Medical Group a Professional Medical Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brentwood Medical Group a Professional Medical Corp?
- The authorized official listed on Brentwood Medical Group a Professional Medical Corp's NPPES record is Javid Tavari, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brentwood Medical Group a Professional Medical Corp's NPI active?
- Yes — Brentwood Medical Group a Professional Medical Corp's NPI (1720322415) is active in the NPPES registry as of the last update on 2018-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.