Active NPI
Ocean Medical Family and Urgent Care Medical Corporation Inc
- Family Medicine Physician
- Redondo Beach, CA
National Provider Identifier
1306820758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G66535
- Legal business name
- OCEAN MEDICAL FAMILY AND URGENT CARE MEDICAL CORPORATION INC
- Practice address
- 1106 S Pacific Coast Hwy
Redondo Beach, CA 90277 - Phone
- (310) 316-1661
- Fax
- (310) 316-1846
- NPI assigned
- Nov 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley D Smith, MD
- Title
- President Chief Executive Officer
- Phone
- (310) 316-1661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G66535 | CA | Primary |
Addresses
Primary practice location
1106 S Pacific Coast Hwy
Redondo Beach, CA 90277
Mailing address
1106 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (310) 316-1661
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1306820758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 S PACIFIC COAST HWY",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-316-1661",
"fax_number": "310-316-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 S PACIFIC COAST HWY",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-316-1661",
"fax_number": "310-316-1846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN MEDICAL FAMILY AND URGENT CARE MEDICAL CORPORATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-316-1661",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G66535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
- Victoria O'Driscoll
- Julie Ann Oates, CNM
- Ofra Obejas, LCSW
- Chadd Nicholas Ocampo
- Occupational Health Centers of California, a Medical Corporation (dba, Concentra Medical Centers a Medical Corporation)
- Ocean Point Physical Therapy Inc
- Oceanside Psychology Clinic
- Kenneth D Ochi, DDS
- Cristina Ochoa
- Michael Stephen Oden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.