Organization Active NPI

Zuberi Medical Group Inc

  • Family Medicine Physician
  • Lakewood, CA
National Provider Identifier
1043947005
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZUBERI MEDICAL GROUP INC
Practice address
3514 E South St
Lakewood, CA 90712
Phone
(310) 908-9338
Fax
(562) 808-2145
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Mrs. Lorena Illescas, SURGICAL TECH
Title
Office Manager
Phone
(310) 908-9338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3514 E South St
Lakewood, CA 90712

Mailing address

5200 Clark Ave
PO Box 532
Lakewood, CA 90714-9998
Phone (310) 908-9338

National Provider Directory

National Provider Directory

Locations

20930 Bonita St
Ste W
Carson, CA 90746
Phone (310) 324-7765

3514 South St
Lakewood, CA 90712
Phone (310) 908-9338

5200 Clark Ave
Unit 532
Lakewood, CA 90714

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1043947005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CLARK AVE",
            "address_2": "PO BOX 532",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907149998",
            "telephone_number": "310-908-9338",
            "fax_number": "562-808-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 E SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "310-908-9338",
            "fax_number": "562-808-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUBERI MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "ILLESCAS",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-908-9338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SURGICAL TECH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.