NPIMap

Organization Active NPI

Universal Healthcare Professional Medical PC

Doing business as Americans for Better Health Medical Group

  • Family Medicine Physician
  • Pasadena, CA
National Provider Identifier
1073987095
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
545378 Issued in CA
Legal business name
UNIVERSAL HEALTHCARE PROFESSIONAL MEDICAL PC
Doing business as
Americans for Better Health Medical Group
Practice address
90 N Madison Ave
Pasadena, CA 91101-1740
Phone
(626) 291-2525
Fax
(626) 898-9244
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Dr. Derrick M Myers, MD
Title
President
Phone
(323) 804-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 545378 CA Primary

Addresses

Primary practice location

90 N Madison Ave
Pasadena, CA 91101-1740

Mailing address

90 N Madison Ave
Pasadena, CA 91101-1740
Phone (626) 291-2525

Other names 1

  • AMERICANS FOR BETTER HEALTH MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

90 N Madison Ave
Pasadena, CA 91101
Phone (626) 584-6673

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1073987095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011740",
            "telephone_number": "626-291-2525",
            "fax_number": "626-898-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011740",
            "telephone_number": "626-291-2525",
            "fax_number": "626-898-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTHCARE PROFESSIONAL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-804-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "545378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICANS FOR BETTER HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.