Organization Active NPI

Melrose Family Care Medical Center Inc

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1083911523
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A40488 Issued in CA
Legal business name
MELROSE FAMILY CARE MEDICAL CENTER INC
Practice address
5235 Melrose Ave
Los Angeles, CA 90038-3144
Phone
(323) 466-0263
Fax
(323) 466-1034
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Artis Woodward, MD
Title
Ceo
Phone
(323) 466-0263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A40488 CA Primary
Pain Clinic/Center 261QP3300X A40488 CA

Addresses

Primary practice location

5235 Melrose Ave
Los Angeles, CA 90038-3144

Mailing address

5235 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 466-0263

National Provider Directory

National Provider Directory

Locations

5235 Melrose Ave
Los Angeles, CA 90038
Phone (323) 466-0263

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1083911523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383144",
            "telephone_number": "323-466-0263",
            "fax_number": "323-466-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383144",
            "telephone_number": "323-466-0263",
            "fax_number": "323-466-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE FAMILY CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ARTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-466-0263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A40488",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A40488",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 18, 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.