Organization Active NPI

Compton Family Medical Clinic, Inc.

  • Family Medicine Physician
  • Compton, CA
National Provider Identifier
1134347719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61755 Issued in CA
Legal business name
COMPTON FAMILY MEDICAL CLINIC, INC.
Doing business as
Compton Family Medical Clinic, Inc.
Practice address
2210 E Compton Blvd
Compton, CA 90221-3556
Phone
(310) 635-1853
Fax
(310) 635-1854
NPI assigned
Apr 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Andrew Guerrero, M.D.
Title
Medical Director
Phone
(310) 635-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A61755 CA Primary

Addresses

Primary practice location

2210 E Compton Blvd
Compton, CA 90221-3556

Mailing address

2210 E Compton Blvd
Compton, CA 90221-3556
Phone (310) 635-1853

Other names 1

  • Compton Family Medical Clinic, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0900510Compton Family Medical Clinic, Inc2210 East Compton Boulevard, Compton, CA 90221Provider-performed microscopySep 26, 2027

National Provider Directory

National Provider Directory

Locations

2210 E Compton Blvd
Compton, CA 90221
Phone (310) 635-1852

NPI Registry JSON

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134347719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213556",
            "telephone_number": "310-635-1853",
            "fax_number": "310-635-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213556",
            "telephone_number": "310-635-1853",
            "fax_number": "310-635-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTON FAMILY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-635-1853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compton Family Medical Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.