NPIMap

Organization Active NPI

MVP Family Practice & Sports Medicine, Inc

  • Specialist
  • Downey, CA
National Provider Identifier
1093059180
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A67059 Issued in CA
Legal business name
MVP FAMILY PRACTICE & SPORTS MEDICINE, INC
Practice address
8207 3Rd St Ste 205
Downey, CA 90241-3731
Phone
(562) 923-4687
Fax
(562) 923-4688
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mr. Ramon Castellon Gonzalez, PA-CNPI 1881926103
Title
Administrator
Phone
(562) 923-4687

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A67059 CA Primary

Addresses

Primary practice location

8207 3Rd St Ste 205
Downey, CA 90241-3731

Mailing address

8207 3Rd St Ste 205
Downey, CA 90241-3731
Phone (562) 923-4687

National Provider Directory

National Provider Directory

Locations

8207 3rd St
Ste 205
Downey, CA 90241
Phone (562) 923-4687

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1093059180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 3RD ST STE 205",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413731",
            "telephone_number": "562-923-4687",
            "fax_number": "562-923-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 3RD ST STE 205",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413731",
            "telephone_number": "562-923-4687",
            "fax_number": "562-923-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP FAMILY PRACTICE & SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "CASTELLON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-923-4687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.