Your Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUR MEDICAL GROUP, INC

Practice address

591 McCray St
Suite 211
Hollister, CA 95023-2224

Phone

(831) 531-4213

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ray KusumotoNPI 1194850800

Title

Ceo-President

Phone

(831) 531-4213

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 10

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.

• Ray S. Kusumoto, PA

  • Medical Physician Assistant
  • Hollister, CA
  • NPI 1194850800
  Medicare reassignment Authorized official
• Ariel Moreno Hurtado, MD

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1255659181
  Medicare reassignment NPD
• Kenneth P Jiang, MD

  • Internal Medicine Physician
  • Hollister, CA
  • NPI 1841279841
  Medicare reassignment NPD
• Arminda Tolentino, M.D.

  • Family Medicine Physician
  • Hollister, CA
  • NPI 1225131030
  Medicare reassignment NPD
• Junife Palaganas Burguillos, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Sacramento, CA
  • NPI 1992945901
  Medicare reassignment
• Joseph Godbout, PA-C

  • Physician Assistant
  • Hollister, CA
  • NPI 1578652855
  Medicare reassignment
• Taylor Snow

  • Physician Assistant
  • Hollister, CA
  • NPI 1891165403
  Medicare reassignment
• Olivia Hoang-Oanh Tran, PA

  • Physician Assistant
  • Hollister, CA
  • NPI 1649779109
  Medicare reassignment
• Amelia Underwood I, RD, CDE, PA-C

  • Physician Assistant
  • Hollister, CA
  • NPI 1083065395
  Medicare reassignment
• Anita Samanego Tolentino-Macaraeg, M.D.

  • Pediatrics Physician
  • Hollister, CA
  • NPI 1194828996
  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1043630106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST",
            "address_2": "SUITE 211",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-531-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST",
            "address_2": "SUITE 211",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-531-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "KUSUMOTO",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "831-531-4213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Bruce Yager, MD
• Alan Yamamoto
• Shinhae Yoon
• Michelle Brianne Yorks
• You Smile Dental
• Youth Alliance
• Youth Recovery Connections
• Maria E Zamora
• Thomas N. Zanetos, D.O.
• Samantha Zaragoza, MS

• Family Medicine Physician in Hollister, CA
• Providers in Hollister, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.