Organization Active NPI

Macarthur Park Medical Clinic

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1083873855
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A30080 Issued in CA
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

Updated by the provider on Jun 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR00786500MedicaidCA
8814330OtherCAMEDICAID PIN

National Provider Directory

National Provider Directory
Tax ID family
Macarthur Park Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.