NPIMap

Organization Active NPI

Comprehensive Medical Center Inc

Doing business as Clinica Medica Comunidad

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1174930341
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G84127 Issued in CA
Legal business name
COMPREHENSIVE MEDICAL CENTER INC
Doing business as
Clinica Medica Comunidad
Practice address
1614 Wilshire Blvd Ste 101
Los Angeles, CA 90017-1611
Phone
(213) 484-8100
Fax
(213) 484-8102
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Anthony M Kingsley, M.D.
Title
Medical Director
Phone
(213) 484-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G84127 CA Primary

Addresses

Primary practice location

1614 Wilshire Blvd Ste 101
Los Angeles, CA 90017-1611

Mailing address

1614 Wilshire Blvd Ste 101
Los Angeles, CA 90017-1611
Phone (213) 484-8100

Other names 1

  • CLINICA MEDICA COMUNIDAD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica Comunidad4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1614 Wilshire Blvd
Ste 101
Los Angeles, CA 90017
Phone (213) 484-8100

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1174930341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 WILSHIRE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171611",
            "telephone_number": "213-484-8100",
            "fax_number": "213-484-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WILSHIRE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171611",
            "telephone_number": "213-484-8100",
            "fax_number": "213-484-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-484-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G84127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICA COMUNIDAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 18, 2014; 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.