Organization Active NPI

Medical Associates of Little Company of Mary Inc.

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1013235324
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A43741 Issued in CA
Legal business name
MEDICAL ASSOCIATES OF LITTLE COMPANY OF MARY INC.
Practice address
21311 Madrona Ave
100A
Torrance, CA 90503-5970
Phone
(310) 792-4400
Fax
(310) 542-5805
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Mary Jo Donahue, MD
Title
President
Phone
(310) 371-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A43741 CA Primary

Addresses

Primary practice location

21311 Madrona Ave
100A
Torrance, CA 90503-5970

Mailing address

21311 Madrona Ave
100A
Torrance, CA 90503-5970
Phone (310) 792-4400

Other identifiers 1

IdentifierTypeStateIssuer
W13712OtherCAMEDICARE GROUP PPIN

National Provider Directory

National Provider Directory
Tax ID family
Medical Associates of Little Co of Mary3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1013235324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE",
            "address_2": "100A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970",
            "telephone_number": "310-792-4400",
            "fax_number": "310-542-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE",
            "address_2": "100A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970",
            "telephone_number": "310-792-4400",
            "fax_number": "310-542-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF LITTLE COMPANY OF MARY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-371-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A43741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PPIN",
            "identifier": "W13712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.