Active NPI
Sundaram Family Medical Clinic Inc.
Doing business as Sundaram la Familia Medical Clinic
- Family Medicine Physician
- Huntington Park, CA
National Provider Identifier
1053691766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA19004
- Legal business name
- SUNDARAM FAMILY MEDICAL CLINIC INC.
- Doing business as
- Sundaram la Familia Medical Clinic
- Practice address
- 3001 E Florence Ave
Huntington Park, CA 90255-5827 - Phone
- (323) 589-0927
- NPI assigned
- Aug 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jawahar Sundaram, M.D.
- Title
- Physician
- Phone
- (323) 589-0927
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A67659 | CA | |
| Family Medicine Physician | 207Q00000X | PA19004 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A7566 | CA | |
| General Practice Physician | 208D00000X | PA19004 | CA |
Addresses
Primary practice location
3001 E Florence Ave
Huntington Park, CA 90255-5827
Mailing address
3001 E Florence Ave
Huntington Park, CA 90255-5827
Phone (323) 589-0927
Other names 1
- SUNDARAM LA FAMILIA MEDICAL CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Sundaram Family Medical Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sundaram Family Medical Clinic
- Family Medicine Physician
- Pico Rivera, CA
- NPI 1992039473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1053691766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555827",
"telephone_number": "323-589-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555827",
"telephone_number": "323-589-0927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDARAM FAMILY MEDICAL CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "SUNDARAM",
"authorized_official_first_name": "JAWAHAR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "323-589-0927",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A67659",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "PA19004",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "20A7566",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "PA19004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUNDARAM LA FAMILIA MEDICAL CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.