Mayflower Medical Group, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A34471 Issued in CA

Legal business name

MAYFLOWER MEDICAL GROUP, INC.

Practice address

1433 W Merced Ave
#216
West Covina, CA 91790-3402

Phone

(626) 388-3553

Fax

(626) 338-5432

NPI assigned

Sep 7, 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

Prakash Patel, M.D.

Title

President

Phone

(626) 338-3553

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mayflower Medical Group Inc4 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.

• Mayflower Medical Group, Inc.

  • Family Medicine Physician
  • El Monte, CA
  • NPI 1598232324
  NPD tax ID
• Mayflower Medical Group, Inc.

  • Pediatrics Physician
  • Rialto, CA
  • NPI 1770050353
  NPD tax ID
• Mayflower Medical Group, Inc.

  • Pediatrics Physician
  • Covina, CA
  • NPI 1851872014
  NPD tax ID

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.

• Chris Le, MD

  • Primary Care Clinic/Center
  • West Covina, CA
  • NPI 1083637227
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235232620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "#216",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-338-3553",
            "fax_number": "626-338-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "#216",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-388-3553",
            "fax_number": "626-338-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-338-3553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A34471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A34471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica May
• Lauren Maya
• Yocelin Mayen
• Eric Mayer
• Mayflower Medical Group, Inc.
• Ramses Mayorga Jr
• Daniel Mazariegos
• Adil Mazhar, MD
• Verneeda Chantice McCall
• Alysha McCuistion

• Cardiovascular Disease Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Cardiovascular Disease 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.