Maria Auxiliadora Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARIA AUXILIADORA MEDICAL GROUP

Practice address

9401 Long Beach Blvd
South Gate, CA 90280-4144

Phone

(323) 582-8612

Fax

(323) 567-9784

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

George Zanelli

Title

Administrator

Phone

(323) 582-8612

Specialties & licenses 1

Addresses

Practitioners 4

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

• Kimberley Marie Crabtree-Loyd, NPF

  • General Practice Registered Nurse
  • South Gate, CA
  • NPI 1427611243
  NPD (past)
• Hanhey Moon, MD

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1477598910
  NPD (past)
• Reuven Fernandez Sison, M.D.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1225143274

  General Practice

  NPD (past)
• Rita Karen Tafoya, PA

  • Physician Assistant
  • South Gate, CA
  • NPI 1467567370
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104931112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902800717",
            "telephone_number": "323-582-8612",
            "fax_number": "323-567-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 LONG BEACH BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902804144",
            "telephone_number": "323-582-8612",
            "fax_number": "323-567-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA AUXILIADORA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZANELLI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-582-8612"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Magana-Gamero
• Juan Carlos Magana Jr.
• Maleki & Noori Dental Partnership (South Gate Dentistry & Orthodontics)
• Maria Eugenia Mancera, LVN
• Ruth Danelia Marcernaro-Reyes, RDA
• Marque Medical Clinic, Inc. (Marque Urgent Care)
• Nancy Marron
• Daniel Martinez, DDS
• Madelyn Martinez
• Stephanie Margarita Martir

• General Practice Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.