Glen City Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GLEN CITY MEDICAL GROUP, INC

Practice address

247 March St
Santa Paula, CA 93060-2511

Phone

(805) 933-6622

Fax

(806) 933-6629

NPI assigned

Jul 22, 2006

Last updated

Jan 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Swartout, M.D.NPI 1013931146

Title

President

Phone

(805) 933-6622

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Swartout, M.D.

  • Internal Medicine Physician
  • Santa Paula, CA
  • NPI 1013931146
  Authorized official Same address or phone

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1205857398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MARCH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602511",
            "telephone_number": "805-933-6622",
            "fax_number": "806-933-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MARCH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602511",
            "telephone_number": "805-933-6622",
            "fax_number": "806-933-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN CITY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "SWARTOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-933-6622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82993Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Garcia
• Paola Hinojosa Garcia
• Gary Wikholm M D a Professional Corporation
• Maria Azalea Garza
• Alexandra Gaytan
• Hailley Goleta
• Christina Gomez
• Andrea Teran Gonzales, M.D.
• Jennifer Gonzalez
• Saida Gonzalez, MSW STUDENT

• Internal Medicine Physician in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.