Organization Active NPI

Del Amo Family Medical Group Inc

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1295988194
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G29047 Issued in CA
Legal business name
DEL AMO FAMILY MEDICAL GROUP INC
Practice address
3475 Torrance Blvd
Suite G
Torrance, CA 90503-5800
Phone
(310) 543-1695
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Eduardo Aquino
Title
Billing Manager
Phone
(310) 543-1695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G29047 CA Primary

Addresses

Primary practice location

3475 Torrance Blvd
Suite G
Torrance, CA 90503-5800

Mailing address

3475 Torrance Blvd
Suite G
Torrance, CA 90503-5800
Phone (310) 543-1695

Other identifiers 1

IdentifierTypeStateIssuer
G29047OtherCAMD LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1295988194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD",
            "address_2": "SUITE G",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-543-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 TORRANCE BLVD",
            "address_2": "SUITE G",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035800",
            "telephone_number": "310-543-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL AMO FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-543-1695"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G29047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "G29047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.