Organization Active NPI

Nordman Med Group

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1245461045
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56071 Issued in CA
Legal business name
NORDMAN MED GROUP
Practice address
5850 W 3Rd St
Suite 150
Los Angeles, CA 90036-2862
Phone
(323) 304-7663
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Stephen D Nordman
Title
Ceo
Phone
(323) 304-7663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A56071 CA Primary

Addresses

Primary practice location

5850 W 3Rd St
Suite 150
Los Angeles, CA 90036-2862

Mailing address

5850 W 3Rd St
Suite 150
Los Angeles, CA 90036-2862

National Provider Directory

National Provider Directory

Locations

5850 W 3rd St
Ste 150
Los Angeles, CA 90036
Phone (323) 304-7663

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1245461045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 W 3RD ST",
            "address_2": "SUITE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 W 3RD ST",
            "address_2": "SUITE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362862",
            "telephone_number": "323-304-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDMAN MED GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "NORDMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-304-7663"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.