Active NPI
Macarthur Park Medical Clinic
- Clinic/Center
- Los Angeles, CA
National Provider Identifier
1083873855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A30080
- Legal business name
- MACARTHUR PARK MEDICAL CLINIC
- Practice address
- 2228 W 7TH St
Los Angeles, CA 90057-4002 - Phone
- (213) 383-5773
- Fax
- (213) 383-5783
- NPI assigned
- Jun 5, 2008
- 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
- Dr. Alicia Zabella Laano, MD
- Title
- Director
- Phone
- (213) 383-5773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A30080 | CA | Primary |
Addresses
Primary practice location
2228 W 7TH St
Los Angeles, CA 90057-4002
Mailing address
2228 W 7TH St
Los Angeles, CA 90057-4002
Phone (213) 383-5773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR00786500 | Medicaid | CA | |
| 8814330 | Other | CA | MEDICAID PIN |
National Provider Directory
National Provider Directory- Tax ID family
- Macarthur Park Medical Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1730266248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1083873855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574002",
"telephone_number": "213-383-5773",
"fax_number": "213-383-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574002",
"telephone_number": "213-383-5773",
"fax_number": "213-383-5783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACARTHUR PARK MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "LAANO",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "ZABELLA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "213-383-5773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A30080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR00786500",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PIN",
"identifier": "8814330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.