NPIMap

Organization Active NPI

One Stop Multi-Specialty Medical Group & Therapy, Inc.

  • Non-Pharmacy Dispensing Site
  • Hesperia, CA
National Provider Identifier
1245644160
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A37952 Issued in CA
Legal business name
ONE STOP MULTI-SPECIALTY MEDICAL GROUP & THERAPY, INC.
Practice address
10918 Hesperia Rd
Suite B
Hesperia, CA 92345-2151
Phone
(909) 483-3530
NPI assigned
Jun 18, 2014
Organization subpart
Yes
Parent organization
ONE STOP MULTI-SPECIALTY MEDICAL GROUP & THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Eduardo E. Anguizola, M.D.
Title
President & Ceo
Phone
(909) 483-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A37952 CA Primary

Addresses

Primary practice location

10918 Hesperia Rd
Suite B
Hesperia, CA 92345-2151

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Tax ID family
One Stop Multi Specialty Medical Group and Therapy7 organizations share this tax ID, including this one
Part of
One Stop Multi Specialty Medical Group and Therapy

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1245644160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10918 HESPERIA RD",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452151",
            "telephone_number": "909-483-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP MULTI-SPECIALTY MEDICAL GROUP & THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE STOP MULTI-SPECIALTY MEDICAL GROUP & THERAPY, INC.",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A37952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.