Organization Active NPI

Industrial Medic Physicians Group Inc

Doing business as Industrial medic clinic

  • Occupational Medicine Clinic/Center
  • Antioch, CA
National Provider Identifier
1053986638
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
INDUSTRIAL MEDIC PHYSICIANS GROUP INC
Doing business as
Industrial medic clinic
Practice address
3700 Delta Fair Blvd Ste B
Antioch, CA 94509-4075
Phone
(925) 978-4830
Fax
(925) 775-4801
NPI assigned
May 25, 2021
Organization subpart
Yes
Parent organization
INDUSTRIAL MEDIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Dr. Kareem Hubbard, MD
Title
Medical Director
Phone
(925) 978-4830

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pain Clinic/Center 261QP3300X
Occupational Medicine Clinic/Center 261QX0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3700 Delta Fair Blvd Ste B
Antioch, CA 94509-4075

Mailing address

3700 Delta Fair Blvd Ste B
Antioch, CA 94509-4075
Phone (925) 978-4830

Other names 1

  • Industrial medic clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Industrial Medic Physicians Group Inc

Locations

3700 Delta Fair Blvd
Ste B
Antioch, CA 94509
Phone (925) 978-4830

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1053986638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094075",
            "telephone_number": "925-978-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094075",
            "telephone_number": "925-978-4830",
            "fax_number": "925-775-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL MEDIC PHYSICIANS GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDUSTRIAL MEDIC CLINIC",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "925-978-4830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industrial medic clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.