Active NPI
RMG Medical Group
- Pediatrics Physician
- La Mirada, CA
National Provider Identifier
1013041151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C23710
- Legal business name
- RMG MEDICAL GROUP
- Practice address
- 15082 Imperial Hwy
La Mirada, CA 90638-1301 - Phone
- (562) 947-6600
- NPI assigned
- Mar 14, 2007
- Last updated
- Aug 22, 2020
- 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. Raymond Gomberg, MD
- Title
- Authorized Official
- Phone
- (562) 947-6600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C23710 | CA | Primary |
Addresses
Primary practice location
15082 Imperial Hwy
La Mirada, CA 90638-1301
Mailing address
PO Box 511201
Los Angeles, CA 90051-2998
Phone (562) 947-6600
National Provider Directory
National Provider DirectoryLocations
15092 Imperial Hwy
La Mirada, CA 90638
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- La Mirada, CA
- NPI 1679683080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013041151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900512998",
"telephone_number": "562-947-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15082 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381301",
"telephone_number": "562-947-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RMG MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOMBERG",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "562-947-6600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "C23710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.