Traditional Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

W17913 Issued in CA

Legal business name

TRADITIONAL FAMILY PRACTICE INC

Practice address

2204 Torrance Blvd
Suite 105
Torrance, CA 90501-2544

Phone

(310) 328-2146

Fax

(310) 328-2242

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Ludmila AfonichevaNPI 1932159530

Title

Ceo

Phone

(310) 328-2146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ludmila W Afonicheva, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1932159530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1053507822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 TORRANCE BLVD",
            "address_2": "SUITE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012544",
            "telephone_number": "310-328-2146",
            "fax_number": "310-328-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 TORRANCE BLVD",
            "address_2": "SUITE 105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012544",
            "telephone_number": "310-328-2146",
            "fax_number": "310-328-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "AFONICHEVA",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-328-2146"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "W17913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Nicole Townsend
• Jake Toy, DO
• Maile Toy
• Tatianna Toy
• Sarah Anne Trabold, NP
• Jocelyn Trail
• Tran Medical, Inc
• Annie D Tran-Nguyen
• Aaron Khoi Minh Tran, M.D.
• Amity Tran, MD

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, 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 Jun 17, 2013; 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.