Pacific Associates Medical Group, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PACIFIC ASSOCIATES MEDICAL GROUP, INC.

Practice address

9900 Lakewood Blvd Ste 103
Downey, CA 90240-4039

Phone

(562) 387-0403

Fax

(562) 396-0403

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Richard Goldstein, MD

Title

President

Phone

(951) 313-9530

Specialties & licenses 1

Addresses

Other names 1

• Pacific Associates IPA Other name

Locations

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245723071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 LAKEWOOD BLVD STE 103",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404039",
            "telephone_number": "562-387-0403",
            "fax_number": "562-396-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 LAKEWOOD BLVD STE 103",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404039",
            "telephone_number": "562-387-0403",
            "fax_number": "562-396-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ASSOCIATES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-313-9530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Associates IPA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Associates IPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Preferred Provider Organization in Downey, CA
• Providers in Downey, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.