NPIMap

Organization Active NPI

Countyof Los Angeles

  • Pediatrics Physician
  • Commerce, CA
National Provider Identifier
1104259936
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COUNTYOF LOS ANGELES
Practice address
5555 Ferguson Dr
Commerce, CA 90022-5164
Phone
(323) 890-7509
NPI assigned
Aug 15, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Art Bernal
Title
Cbo Manager
Phone
(323) 890-7775

National Provider Directory

National Provider Directory
Tax ID family
Usc Caruso Department Otolaryngology-Head and Neck Surgery612 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5555 Ferguson Dr
Commerce, CA 90022-5164

Mailing address

501 N Glendale Ave
Glendale, CA 91206-3312

Other names 1

NPPES NPI Registry
  • Glendale Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2013.

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1104259936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 FERGUSON DR",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225164",
            "telephone_number": "323-890-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTYOF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "CBO MANAGER",
        "authorized_official_telephone_number": "323-890-7775"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.