Organization Active NPI

Ralph E Conner D.O. Inc

  • Urgent Care Clinic/Center
  • Santa Fe Springs, CA
National Provider Identifier
1346392875
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
20A6547 Issued in CA
Legal business name
RALPH E CONNER D.O. INC
Practice address
11460 Telegraph Rd
Santa Fe Springs, CA 90670-3142
Phone
(562) 864-1000
Fax
(562) 864-2125
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Ms. Madonna Mangunne, PA-C
Title
Physician Assistant
Phone
(562) 864-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 20A6547 CA Primary

Addresses

Primary practice location

11460 Telegraph Rd
Santa Fe Springs, CA 90670-3142

Mailing address

11460 Telegraph Rd
Santa Fe Springs, CA 90670-3142
Phone (562) 864-1000

Other names 1

  • Santa Fe Prings Urgent Care Other name

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1346392875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703142",
            "telephone_number": "562-864-1000",
            "fax_number": "562-864-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703142",
            "telephone_number": "562-864-1000",
            "fax_number": "562-864-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH E CONNER D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MANGUNNE",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "562-864-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "20A6547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Prings Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.