Avalon Family Medical Group

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3948 Issued in CA

Legal business name

AVALON FAMILY MEDICAL GROUP

Practice address

1626 N Avalon Blvd
Wilmington, CA 90744-1431

Phone

(310) 834-4666

Fax

(310) 834-5538

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ross Berliner

Title

Podiatrist

Phone

(310) 834-4666

Specialties & licenses 1

Addresses

Tax ID family

Avalon Family Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Avalon Family Medical Group Inc

  • Internal Medicine Physician
  • Wilmington, CA
  • NPI 1114048857
  NPD tax ID

Practitioners 1

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

• Nabil I El Sayad, M.D.

  • Internal Medicine Physician
  • Lomita, CA
  • NPI 1134201791
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295938124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 GRIFFITH PARK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271404",
            "telephone_number": "323-664-4331",
            "fax_number": "323-664-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441431",
            "telephone_number": "310-834-4666",
            "fax_number": "310-834-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERLINER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "310-834-4666",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Healthcare, LLC
• Eileen Rene Anguiano, RADT-1
• Apex Physical Therapy, Inc.
• Tomoko Araki, LAC.
• Stephanie Arjona
• Avalon Family Medical Group Inc
• Avalon Outpatient Services
• Avalon Pharmacy
• Avalon Pharmacy Inc.
• Imelda Avalos

• All providers in Wilmington, CA
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.