Central Health Mso, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CENTRAL HEALTH MSO, INC.

Practice address

1540 Bridgegate Dr
Diamond Bar, CA 91765-3912

Phone

(626) 388-2300

Fax

(626) 388-2317

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin W Kirby

Title

Information Systems Director

Phone

(626) 388-2300

Specialties & licenses 1

Addresses

Other names 1

• Central Health MSO, Inc. Former legal business name

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1003986480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BRIDGEGATE DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653912",
            "telephone_number": "626-388-2300",
            "fax_number": "626-388-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BRIDGEGATE DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653912",
            "telephone_number": "626-388-2300",
            "fax_number": "626-388-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HEALTH MSO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "INFORMATION SYSTEMS DIRECTOR",
        "authorized_official_telephone_number": "626-388-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Health MSO, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Maintenance Organization in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.