Arrowhead Family Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A61543 Issued in CA

Legal business name

ARROWHEAD FAMILY MEDICAL GROUP INC

Practice address

400 N Pepper Ave
Colton, CA 92324-1801

Phone

(909) 580-6230

Fax

(909) 580-6308

NPI assigned

Apr 17, 2008

Last updated

Sep 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David August Lanum, MD

Title

President

Phone

(909) 580-6230

Specialties & licenses 1

Addresses

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.

• Geesnell Lim

  • Family Medicine Physician
  • Colton, CA
  • NPI 1154649010
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1164696381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8714",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923751914",
            "telephone_number": "909-580-6230",
            "fax_number": "909-580-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-6230",
            "fax_number": "909-580-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "LANUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-580-6230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrowback Medical Group
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• Arrowhead Cardiology Medical Group
• Arrowhead CLHF
• Arrowhead Community Surgical Medical Group, Inc.
• Arrowhead Pathology Medical Group Incorporated
• Arrowhead Pediatrics Medical Group, Inc.
• Arrowhead Pediatrics Medical Group, Inc.
• Arrowhead Radiology Medical Group Inc
• Arrowhead Regional Medical Center

• Family Medicine Physician in Colton, CA
• Providers in Colton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.