Organization Active NPI

Extended Care Medical Associates, Inc.

  • Dermatology Physician
  • Whittier, CA
National Provider Identifier
1235310129
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EXTENDED CARE MEDICAL ASSOCIATES, INC.
Practice address
16262 Whittier Blvd
Suite 4
Whittier, CA 90603-2904
Phone
(909) 967-3442
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Randolph Taylor
Title
Coo
Phone
(909) 967-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

16262 Whittier Blvd
Suite 4
Whittier, CA 90603-2904

Mailing address

16262 Whittier Blvd
Suite 4
Whittier, CA 90603-2904
Phone (909) 967-3442

National Provider Directory

National Provider Directory

Locations

16262 Whittier Blvd
Ste 4
Whittier, CA 90603
Phone (909) 967-3442

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1235310129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16262 WHITTIER BLVD",
            "address_2": "SUITE 4",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032904",
            "telephone_number": "909-967-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16262 WHITTIER BLVD",
            "address_2": "SUITE 4",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032904",
            "telephone_number": "909-967-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-967-3442"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.