NPIMap

Organization Active NPI

Expresscare Health and Skin Center

  • Clinic/Center
  • Chalan Pago, GU
National Provider Identifier
1083845853
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
M1288 Issued in GU
Legal business name
EXPRESSCARE HEALTH AND SKIN CENTER
Practice address
302 S Route 4
Agana Shopping Center Suite 207
Chalan Pago, GU 96910
Phone
(671) 477-2873
Fax
(671) 472-2873
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Jitka Lom, M.D.
Title
Owner
Phone
(671) 689-8997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X M1288 GU Primary

Addresses

Primary practice location

302 S Route 4
Agana Shopping Center Suite 207
Chalan Pago, GU 96910

Mailing address

PO Box 3128
Hagatna, GU 96932-3128
Phone (671) 477-2873

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1083845853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3128",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969323128",
            "telephone_number": "671-477-2873",
            "fax_number": "671-472-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S ROUTE 4",
            "address_2": "AGANA SHOPPING CENTER SUITE 207",
            "city": "CHALAN PAGO",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-477-2873",
            "fax_number": "671-472-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSCARE HEALTH AND SKIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "LOM",
        "authorized_official_first_name": "JITKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-689-8997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GU",
            "license": "M1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalan Pago, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.