El Monte Family Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EL MONTE FAMILY MEDICAL GROUP

Practice address

11227 Valley Blvd
El Monte, CA 91731

Phone

(626) 442-7077

Fax

(626) 442-2640

NPI assigned

Nov 29, 2006

Last updated

Jan 9, 2017By 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

Wael Dagher, MD

Title

President Physician

Phone

(626) 442-7077

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1073680757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-442-7077",
            "fax_number": "626-442-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-442-7077",
            "fax_number": "626-442-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "626-442-7077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073680757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Monte City School District
• El Monte City Shool District
• El Monte Clinica Medica General Medical Center, Inc
• El Monte Convalescent Hospital
• El Monte Dental Esthetics and Xray Imaging Inc
• El Monte Healthcare Center, LLC (Penn Mar Healthcare Center)
• El Monte Healthcare Center, LLC (El Monte Healthcare Center)
• El Monte Latino Medical Group Inc. (El Monte Centro Medico Familiar)
• El Monte Nutritional and Medical Supplies
• El Monte Optometry Inc

• General Practice Physician in El Monte, CA
• Providers in El Monte, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.