Huntington Trauma Surgery Med Group, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A75419 Issued in CA

Legal business name

HUNTINGTON TRAUMA SURGERY MED GROUP, INC

Practice address

1044 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2622

Phone

(626) 449-4859

Fax

(626) 403-0311

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Amal K Obaid, MD

Title

President

Phone

(626) 683-3030

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1093023780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80248",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911188248",
            "telephone_number": "626-768-4415",
            "fax_number": "626-768-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "626-449-4859",
            "fax_number": "626-403-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON TRAUMA SURGERY MED GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "OBAID",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-683-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A75419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME PERMIT",
            "identifier": "FNP32017",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huntington Rehabilitation Medicine Associates
• Huntington Reproductive Center Medical Group
• Huntington Reproductive Center Medical Group, a Medical Corporation
• Huntington Specialty Surgery LLC
• Huntington Surgical Excellence
• Huntington Urology Specialists, Inc.
• Cassandra Hurlbut
• Kenneth Euguene Hurley
• Charmaine Hurst
• Cara Lynn Hurt

• Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.