Organization Active NPI

Los Angeles County Mih PC

  • Emergency Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1124739313
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LOS ANGELES COUNTY MIH PC
Practice address
611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone
(775) 745-9239
NPI assigned
Dec 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Cari Croghan, MD
Title
Owner
Phone
(775) 745-9239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066

Mailing address

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone (775) 745-9239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1124739313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807066",
            "telephone_number": "775-745-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807066",
            "telephone_number": "775-745-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES COUNTY MIH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "CROGHAN",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-745-9239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.