Family Practice Associates of Carson Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G74550 Issued in CA

Legal business name

FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC

Practice address

824 E Carson St
Suite 201
Carson, CA 90745-2262

Phone

(310) 233-3228

Fax

(310) 233-3229

NPI assigned

May 9, 2006

Last updated

Apr 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reza Ghanian, MDNPI 1639151350

Title

President

Phone

(310) 233-3228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reza Ghanian, MD

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1639151350
  Medicare reassignment Care Compare group NPD Authorized official
• Marie Shyrell Basa, FNP - BC

  • Family Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1356739767
  Medicare reassignment Care Compare group NPD
• Cindy Baldonado, PA-C

  • Medical Physician Assistant
  • San Pedro, CA
  • NPI 1851425417
  Medicare reassignment Care Compare group
• Unakem Annette Kazeem

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1043612120
  Medicare reassignment NPD
• Hector Eduardo Collantes Jr., PA-C

  • Medical Physician Assistant
  • Hawthorne, CA
  • NPI 1255431722
  Medicare reassignment
• Brian Paul Mitu, F.N.P., P.A.-C

  • Primary Care Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1528015849
  Medicare reassignment
• Luis G Magdaleno, MD

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1164492013
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1316996903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452262",
            "telephone_number": "310-233-3228",
            "fax_number": "310-233-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E CARSON ST",
            "address_2": "SUITE 201",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452262",
            "telephone_number": "310-233-3228",
            "fax_number": "310-233-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "GHANIAN",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-233-3228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G74550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzodinma Ezeibekwe
• Maria Fabian, RPT
• Alma Nartatez Fabro, FNP
• Faithful Medical Transportation LLC
• Family Practice Associates of Carson
• Cary Fang
• Johanna Fassbender
• Kelvin Deleno Felix
• Feliz Health Care, Inc
• Raulin Dadural Feria, APRN, FNP-BC

• Internal Medicine Physician in Carson, CA
• Providers in Carson, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.