NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Indiana, PC

  • Occupational Medicine Physician
  • South Bend, IN
National Provider Identifier
1174037535
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC
Practice address
19567 Cleveland Rd
South Bend, IN 46637-3201
Phone
(574) 277-7600
Fax
(574) 277-7690
NPI assigned
Nov 21, 2017
Organization subpart
Yes
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Joseph Mallas
Title
President
Phone
(661) 678-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

19567 Cleveland Rd
South Bend, IN 46637-3201

Mailing address

28035 Ave Stanford West
Attn: Tamara Weber-Alvarado
Valencia, CA 91355
Phone (661) 678-2426

National Provider Directory

National Provider Directory
Tax ID family
US Healthworks Medical Group of Indiana PC17 organizations share this tax ID, including this one
Part of
US Healthworks Medical Group of Indiana PC

Other organizations with this tax ID 16

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

View all 16

Locations

28035 Avenue Stanford
Valencia, CA 91355
Phone (661) 678-2405

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1174037535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28035 AVE STANFORD WEST",
            "address_2": "ATTN: TAMARA WEBER-ALVARADO",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-678-2426",
            "fax_number": "661-678-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19567 CLEVELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373201",
            "telephone_number": "574-277-7600",
            "fax_number": "574-277-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-678-2600"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.