Mindfield Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MINDFIELD MEDICAL

Practice address

6330 San Vicente Blvd Ste 510
Los Angeles, CA 90048-5455

Phone

(310) 658-4008

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Edward J Bates

Title

Secretary

Phone

(310) 658-4008

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1326726076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 S CRESCENT HEIGHTS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352635",
            "telephone_number": "310-658-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485455",
            "telephone_number": "310-658-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFIELD MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-658-4008"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind to Motion Physical Therapy, PC
• Rochelle Galace Mindanao
• Mindbody Health Group
• Marcia T. Mindell, LCSW
• Evelyne Mindes, MD
• Mindfield Wellness
• Mindful CBT California, a Licensed Marriage and Family Therapy Corpora
• Mindful Clinical Services, LLC
• Mindful Clinical Services, LLC
• Mindful Growth Foundation

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 11, 2023; 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.