CVS Medical Group, Inc

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

CVS MEDICAL GROUP, INC

Practice address

1417 W Beverly Blvd Ste 106
Montebello, CA 90640-4125

Phone

(626) 657-8002

Fax

(323) 900-0567

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Jeanette O Espinosa

Title

Office Manager

Phone

(626) 425-3946

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Salar Hakham, D.O.

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
  • NPI 1386960854
  Medicare reassignment Care Compare group
• Victor Shi, M.D.

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
  • NPI 1770857427
  Medicare reassignment Care Compare group
• Norris Morrison Sr., DPM

  • Podiatrist
  • Apple Valley, CA
  • NPI 1790098218
  Medicare reassignment
• Peter H Lin, M.D.

  • Vascular Surgery Physician
  • Arcadia, CA
  • NPI 1982784625
  NPD (past)

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1346717824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GARVEY AVE STE 102-502",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547418",
            "telephone_number": "626-425-3946",
            "fax_number": "323-900-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD STE 106",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404125",
            "telephone_number": "626-657-8002",
            "fax_number": "323-900-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-425-3946"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Natalia Crespo
• Veronica Crosson, M.A., MFT-I
• Melissa Mayberry Crowley, M.D.
• Crown Medical Health Group Inc
• Manuel Alejandro Cruz, MD
• Anne Catherine Damianakes
• Dan M Kahen, DO Apc
• Hoa Thi Nhan Dang
• Daniel a. Farkas, DDS, Inc.
• David K Chen MD Inc

• Vascular & Interventional Radiology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.