Nova Medical Center, a Professional Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION

Practice address

1423 W 8TH St
San Pedro, CA 90732-3803

Phone

(818) 599-1002

NPI assigned

Jul 19, 2010

Last updated

Apr 3, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Randall Caldron, MDNPI 1053475822

Title

Medical Director

Phone

(818) 599-1002

Specialties & licenses 1

Addresses

Part of

Nova Medical Center

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall A Caldron, MD

  • Obesity Medicine (Internal Medicine) Physician
  • West Hills, CA
  • NPI 1053475822
  NPD Authorized official

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1154634228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 E LOS ANGELES AVE STE C303",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652868",
            "telephone_number": "805-501-6685",
            "fax_number": "866-472-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323803",
            "telephone_number": "818-599-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVA MEDICAL CENTER, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2010-07-19",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "CALDRON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-599-1002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Sabet-Peyman, MD Inc.
• NLV Psychotherapy & Consulting
• Raul Amyas Noriega
• Norman Cantor, M.D., Inc.
• Nova Medical Center
• Andrew P Novom, MD
• Priscilla S Novom, MD
• Helen Fufor Ntung
• Maureen Nunn, M.A. ; CAADE 7622-R
• Colleen O'Donnell, PT, DPT

• Non-Pharmacy Dispensing Site in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.