All Care Medical Group Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ALL CARE MEDICAL GROUP INC

Doing business as

Professional Services Medical Group Inc

Practice address

2675 E Slauson Avenue
Professional Services Medical Group Inc
Huntington Park, CA 90255

Phone

(323) 589-6681

Fax

(323) 589-4903

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Rotenberg, MDNPI 1639145600

Title

Medical Director

Phone

(323) 589-6681

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Professional Services Medical Group Inc Doing business as

Locations

Practitioners 2

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

• Samuel Rotenberg, MD

  • Diagnostic Radiology Physician
  • Huntington Park, CA
  • NPI 1639145600
  NPD (past) Authorized official
• Roberto Sandoval, M.D.

  • Emergency Medicine Physician
  • Pasadena, CA
  • NPI 1780625913
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1093860314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 E SLAUSON AVENUE",
            "address_2": "PROFESSIONAL SERVICES MEDICAL GROUP INC",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-589-6681",
            "fax_number": "323-589-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E SLAUSON AVENUE",
            "address_2": "PROFESSIONAL SERVICES MEDICAL GROUP INC",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "90255",
            "telephone_number": "323-589-6681",
            "fax_number": "323-589-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "ROTENBERG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-589-6681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029130",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029133",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Services Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.