Spectrum Medical Group, Inc.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

SPECTRUM MEDICAL GROUP, INC.

Practice address

5211 E Washington Blvd
Sutie 18
Commerce, CA 90040-3959

Phone

(714) 293-4571

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Amin Nia, D.C.

Title

VP

Phone

(714) 293-4571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Arlen David Green, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Laguna Niguel, CA
  • NPI 1730250465
  Medicare reassignment Care Compare group NPD
• Steve S. Im, MD

  • Anesthesiology Physician
  • Cerritos, CA
  • NPI 1114019544
  Medicare reassignment Care Compare group
• Edgar Nepomuceno Malbas, P.T.

  • Orthopedic Physical Therapist
  • Eastvale, CA
  • NPI 1487767653
  NPD (past)
• Jacqueline T On, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1225207707
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1225267388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S. BARRINGTON",
            "address_2": "#754",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90049",
            "telephone_number": "714-293-4571",
            "fax_number": "310-471-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 E WASHINGTON BLVD",
            "address_2": "SUTIE 18",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900403959",
            "telephone_number": "714-293-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "NIA",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "714-293-4571",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlin Sugey Soto
• Patricia Soto
• Victoria Adriana Soto
• Southern California Immediate Medical Center
• Spectra Hospice Care Inc
• Maura Spindola
• Erica St. Pierre
• Wanda Stanley
• Noah Staum
• David Stearns

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Commerce, CA
• Providers in Commerce, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.