Organization Active NPI

Fobi Medical Group

  • Specialist
  • Long Beach, CA
National Provider Identifier
1023146495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G30361 Issued in CA
Legal business name
FOBI MEDICAL GROUP
Doing business as
CENTER FOR SURGICAL TREATMENT OF OBESITY
Practice address
432 E 10TH St
Long Beach, CA 90813-4424
Phone
(562) 491-7935
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mathias Fobi, MD
Title
Medical Director Owner
Phone
(562) 402-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G30361 CA Primary

Addresses

Primary practice location

432 E 10TH St
Long Beach, CA 90813-4424

Mailing address

21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603
Phone (562) 402-9779

Other names 1

  • CENTER FOR SURGICAL TREATMENT OF OBESITY Doing business as

National Provider Directory

National Provider Directory

Locations

21520 Pioneer Blvd
Ste 204
Hawaiian Gdns, CA 90716
Phone (562) 402-9779

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023146495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21520 PIONEER BLVD",
            "address_2": "SUITE 204",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162603",
            "telephone_number": "562-402-9779",
            "fax_number": "562-402-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134424",
            "telephone_number": "562-491-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOBI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOBI",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OWNER",
        "authorized_official_telephone_number": "562-402-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR SURGICAL TREATMENT OF OBESITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, 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.

Verify at the official NPI Registry.