St. Francis Multispecialty Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. FRANCIS MULTISPECIALTY MEDICAL GROUP, INC.

Practice address

3621 Martin Luther King Jr Blvd
Suite 8
Lynwood, CA 90262-3512

Phone

(310) 637-0677

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By 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

Jatin C Bhatt, MDNPI 1366487357

Title

President

Phone

(562) 491-9281

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

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.

• Jatin C Bhatt, MD

  • Internal Medicine Physician
  • Lynwood, CA
  • NPI 1366487357
  Medicare reassignment Authorized official
• Chong H Tak, MD

  • Pediatrics Physician
  • Lynwood, CA
  • NPI 1497861793
  Medicare reassignment NPD
• Rita Thapa, NP

  • Family Nurse Practitioner
  • Lynwood, CA
  • NPI 1013756402
  Medicare reassignment NPD
• Van H Miller, MD

  • Emergency Medicine Physician
  • Lynwood, CA
  • NPI 1336177203
  NPD (past)
• Christopher Snyder, DO

  • Family Medicine Physician
  • Indio, CA
  • NPI 1922041235
  NPD (past)
• Ghenet Ukbamichael, PA

  • Physician Assistant
  • Cudahy, CA
  • NPI 1538275755
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225076383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 705",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-9281",
            "fax_number": "562-491-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 8",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512",
            "telephone_number": "310-637-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS MULTISPECIALTY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "JATIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-491-9281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Francis Medical Center
• St Francis Medical Center Gas, Inc
• St Francis Radiology Medical Group
• St Francis Turiya Anesthesia
• St. Francis Medical Center - CCC (St Francis Medical Center Children's Center)
• St. Francis Multispecialty Medical Group, Inc.
• St. Francis Pathology Medical Group
• St. Francis Primary Care Medical Group, Inc.
• St. Johns Community Health
• St.Francis Medical Center

• Family Medicine Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Family Medicine Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.