Nationwide Medical Group, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

14837 Issued in CA

Legal business name

NATIONWIDE MEDICAL GROUP, INC

Practice address

11776 Mariposa Rd
Suite #103
Hesperia, CA 92345-1622

Phone

(760) 956-2462

Fax

(760) 956-7542

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Girgis, M.D.

Title

Chief Medical Director

Phone

(661) 861-9967

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aegis Medical Systems, Inc. Doing business as

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1235286907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 REMMET AVENUE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031531",
            "telephone_number": "818-206-0360",
            "fax_number": "818-206-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11776 MARIPOSA RD",
            "address_2": "SUITE #103",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451622",
            "telephone_number": "760-956-2462",
            "fax_number": "760-956-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-861-9967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "14837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008716M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Medical Systems, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucy Mutembei, PHARMD
• Elizbeth W Mwai
• Robert A Myers, D.D.S.
• Hoson Naputi
• National Vision, Inc.
• Carolina Navarro Garcia
• Hope C Nebedum
• Yessenia Negrete
• Jody Lee Neville, RD
• David Newman, LMFT

• Community Health Clinic/Center in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.