Active NPI
Nationwide Medical Group, Inc
- Community Health Clinic/Center
- Marysville, CA
National Provider Identifier
1003963687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- NATIONWIDE MEDICAL GROUP, INC
- Practice address
- 320 H St Ste 2
Marysville, CA 95901-5834 - Phone
- (530) 742-7747
- Fax
- (530) 742-7642
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Girgis, M.D.
- Title
- Director
- Phone
- (661) 861-9967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
320 H St Ste 2
Marysville, CA 95901-5834
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 206-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0087165 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1003963687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7246 REMMET AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031531",
"telephone_number": "818-206-0360",
"fax_number": "818-206-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 H ST STE 2",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015834",
"telephone_number": "530-742-7747",
"fax_number": "530-742-7642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "GIRGIS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "661-861-9967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0087165",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.