Active NPI
Los Angeles County Mih PC
- Emergency Medicine Physician
- South San Francisco, CA
National Provider Identifier
1124739313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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 DirectoryNPI 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.