NPIMap

Organization Active NPI

Kaiser Group of Medical Clinics & Residential Facilities, Inc.

  • Multi-Specialty Clinic/Center
  • Saipan, MP
National Provider Identifier
1003124975
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
17362-0002-1 Issued in MP
Legal business name
KAISER GROUP OF MEDICAL CLINICS & RESIDENTIAL FACILITIES, INC.
Practice address
Nauru Loop St, Marianas Business Plaza
4TH Floor, RM 402
Saipan, MP 96950-3570
Phone
(670) 234-8005
Fax
(670) 234-8028
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Johnny Yee Fong, M.D.
Title
President
Phone
(670) 234-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 17362-0002-1 MP Primary

Addresses

Primary practice location

Nauru Loop St, Marianas Business Plaza
4TH Floor, RM 402
Saipan, MP 96950-3570

Mailing address

Marianas Business Plaza Building Room 402
Nauru Loop St., P.O. Box 503570
Saipan, MP 96950-3570
Phone (670) 234-8005

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Group of Medical Clinics Residential Facilities Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1003124975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARIANAS BUSINESS PLAZA BUILDING ROOM 402",
            "address_2": "NAURU LOOP ST., P.O. BOX 503570",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969503570",
            "telephone_number": "670-234-8005",
            "fax_number": "670-234-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAURU LOOP ST, MARIANAS BUSINESS PLAZA",
            "address_2": "4TH FLOOR, RM 402",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969503570",
            "telephone_number": "670-234-8005",
            "fax_number": "670-234-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER GROUP OF MEDICAL CLINICS & RESIDENTIAL FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "YEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "670-234-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MP",
            "license": "17362-0002-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.