Organization Active NPI

Southern California Immediate Medical Center

  • Specialist
  • Paramount, CA
National Provider Identifier
1023223013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A5386 Issued in CA
Legal business name
SOUTHERN CALIFORNIA IMMEDIATE MEDICAL CENTER
Practice address
7300 Alondra Blvd Ste 101
Paramount, CA 90723-4000
Phone
(562) 531-8300
Fax
(562) 531-8035
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Thomas Roccapalumbo, DONPI 1578777660
Title
Medical Director
Phone
(323) 726-3212

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)CodeLicenseStatePrimary
Specialist 174400000X 20A5386 CA Primary

Addresses

Primary practice location

7300 Alondra Blvd Ste 101
Paramount, CA 90723-4000

Mailing address

7300 Alondra Blvd Ste 101
Paramount, CA 90723-4000
Phone (562) 531-8300

National Provider Directory

National Provider Directory
Tax ID family
Southern California Immediate Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023223013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ALONDRA BLVD STE 101",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234000",
            "telephone_number": "562-531-8300",
            "fax_number": "562-531-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ALONDRA BLVD STE 101",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234000",
            "telephone_number": "562-531-8300",
            "fax_number": "562-531-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA IMMEDIATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROCCAPALUMBO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-726-3212",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A5386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, 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.