Organization Active NPI

Medical Support Los Angeles a Medical Corporation

  • Independent Medical Examiner Physician
  • Riverside, CA
National Provider Identifier
1174047229
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
Legal business name
MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION
Practice address
11130 Magnolia Ave Ste B
Riverside, CA 92505-3675
Phone
(866) 467-5222
NPI assigned
Jul 31, 2017
Last updated
Jul 31, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Authorized official

Name
Sahniah Siciarz-Lambert
Title
Cfo
Phone
(844) 270-0292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X Primary

Addresses

Primary practice location

11130 Magnolia Ave Ste B
Riverside, CA 92505-3675

Mailing address

1294 E Colorado Blvd
Pasadena, CA 91106-1901

National Provider Directory

National Provider Directory
Tax ID family
Msla a Medical Corporation36 organizations share this tax ID, including this one
Part of
Msla a Medical Corporation

Other organizations with this tax ID 35

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

View all 35

Locations

11130 Magnolia Ave
Ste B
Riverside, CA 92505
Phone (951) 688-6665

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1174047229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053675",
            "telephone_number": "866-467-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "SICIARZ-LAMBERT",
        "authorized_official_first_name": "SAHNIAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "844-270-0292"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.