Organization Active NPI

Peak Health Medical Group Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1174576607
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PEAK HEALTH MEDICAL GROUP INC
Practice address
2143 S Sepulveda Blvd
300
Los Angeles, CA 90025-5733
Phone
(310) 575-3100
Fax
(310) 575-3102
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Jacqueline Brizuela
Title
Administrative Associate/Biller
Phone
(310) 575-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2143 S Sepulveda Blvd
300
Los Angeles, CA 90025-5733

Mailing address

2143 S Sepulveda Blvd
300
Los Angeles, CA 90025-5733
Phone (310) 575-3100

National Provider Directory

National Provider Directory

Locations

2143 S Sepulveda Blvd
Los Angeles, CA 90025

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174576607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 S SEPULVEDA BLVD",
            "address_2": "300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255733",
            "telephone_number": "310-575-3100",
            "fax_number": "310-575-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 S SEPULVEDA BLVD",
            "address_2": "300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255733",
            "telephone_number": "310-575-3100",
            "fax_number": "310-575-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIZUELA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSOCIATE/BILLER",
        "authorized_official_telephone_number": "310-575-3100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.