North Broadway Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A25805 Issued in CA

Legal business name

NORTH BROADWAY MEDICAL CLINIC INC

Practice address

2926 N Broadway
Los Angeles, CA 90031-2601

Phone

(323) 221-1131

Fax

(323) 221-3197

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Francisco B. Fuscaldo, M.D.

Title

Owner

Phone

(323) 221-1131

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1356469381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312601",
            "telephone_number": "323-221-1131",
            "fax_number": "323-221-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312601",
            "telephone_number": "323-221-1131",
            "fax_number": "323-221-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROADWAY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "FUSCALDO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-221-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A25805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Edward Norris Jr., CCADC
• Taylor William Norris, MD
• Teresa E. Norris, CRNA
• Jessica Norrlinger, DDS
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• North Star Families
• North Star Healthcare, LLC

• 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 Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.