Organization Active NPI

Downey Industrial Medical Group, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Downey, CA
National Provider Identifier
1184194128
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DOWNEY INDUSTRIAL MEDICAL GROUP, INC.
Practice address
11525 Brookshire Ave Ste 202
Downey, CA 90241-4983
Phone
(562) 242-2070
Fax
(562) 242-2072
NPI assigned
Dec 3, 2018
Organization subpart
Yes
Parent organization
FRANCE-HELENE MARINA RUSSMANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Yvette B Touch-Bui
Title
Office Manager
Phone
(562) 242-2070

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

11525 Brookshire Ave Ste 202
Downey, CA 90241-4983

Mailing address

11525 Brookshire Ave Ste 202
Downey, CA 90241-4983
Phone (562) 242-2070

Other practice location 1

11525 Brookshire Ave Ste 202
Downey, CA 90241-4983
Phone (562) 242-2070

Other identifiers 1

IdentifierTypeStateIssuer
1366659880OtherCAMEDICAL CLINIC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1184194128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 202",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414983",
            "telephone_number": "562-242-2070",
            "fax_number": "562-242-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 202",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414983",
            "telephone_number": "562-242-2070",
            "fax_number": "562-242-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11525 Brookshire Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414983",
            "country_code": "US",
            "telephone_number": "562-242-2070",
            "fax_number": "562-242-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOWNEY INDUSTRIAL MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCE-HELENE MARINA RUSSMAN",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "TOUCH-BUI",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-242-2070"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CLINIC",
            "identifier": "1366659880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.