Family Care MD Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CARE MD GROUP INC

Practice address

8730 Glenoaks Blvd
Sun Valley, CA 91352-2801

Phone

(818) 960-7171

Fax

(818) 960-7177

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Philip Kim, M. D.NPI 1356781132

Title

President

Phone

(818) 960-7171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Philip Kim, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1356781132
  Medicare reassignment NPD Authorized official
• Richard Park, M.D.

  • Internal Medicine Physician
  • Granada Hills, CA
  • NPI 1174718134
  NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1235808478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 GLENOAKS BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522801",
            "telephone_number": "818-960-7171",
            "fax_number": "818-960-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 GLENOAKS BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522801",
            "telephone_number": "818-960-7171",
            "fax_number": "818-960-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-960-7171",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett Hospice Care Inc
• Express Medical Supplies, Inc.
• Fairfax Hospice Inc
• Bahman Falakassa, M.D
• Roxanna Marie Falcon, COUNSELOR
• David E Farkas, DDS
• Leonard Andrew Feigenbaum, M.D.
• Zohreh Feizi, RN
• Fenton Charter Public Schools
• Lisa Few, P.A.-C.

• Family Medicine Physician in Sun Valley, CA
• Providers in Sun Valley, 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 Sep 10, 2021; 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.