NPIMap

Organization Active NPI

GS Medical Center Inc

  • Non-Pharmacy Dispensing Site
  • San Pedro, CA
National Provider Identifier
1154876852
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A50680 Issued in CA
Legal business name
GS MEDICAL CENTER INC
Practice address
715 S Averill Ave
San Pedro, CA 90732-3813
Phone
(424) 206-8336
Fax
(800) 337-6311
NPI assigned
Aug 23, 2016
Organization subpart
Yes
Parent organization
GS MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Gregory Smith, M.D.
Title
Medical Director
Phone
(424) 206-8336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A50680 CA Primary

Addresses

Primary practice location

715 S Averill Ave
San Pedro, CA 90732-3813

Mailing address

2980 N Beverly Glen Cir Ste 100
Los Angeles, CA 90077-1728
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
GS Medical Center Inc9 organizations share this tax ID, including this one
Part of
GS Medical Center Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1154876852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771728",
            "telephone_number": "310-474-9809",
            "fax_number": "800-337-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S AVERILL AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323813",
            "telephone_number": "424-206-8336",
            "fax_number": "800-337-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GS MEDICAL CENTER INC",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-206-8336",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A50680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.