First Care Multispecialty Medical Group, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FIRST CARE MULTISPECIALTY MEDICAL GROUP, INC.

Practice address

4401 Atlantic Ave Ste 480
Long Beach, CA 90807-2265

Phone

(562) 595-5424

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Montague, JD

Title

General Counsel

Phone

(310) 203-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1164033684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 480",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 480",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072265",
            "telephone_number": "562-595-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE MULTISPECIALTY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "310-203-2800",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.