Organization Active NPI

Integrative Medical Associates Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1083900179
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATIVE MEDICAL ASSOCIATES INC
Practice address
711 N Alvarado St # 114
Los Angeles, CA 90026-4016
Phone
(213) 483-7700
Fax
(213) 483-7701
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Fred Garcia, MDNPI 1871572628
Title
President
Phone
(213) 483-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

711 N Alvarado St # 114
Los Angeles, CA 90026-4016

Mailing address

711 N Alvarado St # 114
Los Angeles, CA 90026-4016
Phone (213) 483-7700

Other identifiers 1

IdentifierTypeStateIssuer
A24259OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

711 N Alvarado St
#114
Los Angeles, CA 90026
Phone (213) 483-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1083900179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST # 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-483-7700",
            "fax_number": "213-483-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST # 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-483-7700",
            "fax_number": "213-483-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-483-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A24259",
            "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 27, 2011; 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.