SGV Family Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SGV FAMILY MEDICAL GROUP, INC

Practice address

1818 N Orange Grove Ave Ste 307
Pomona, CA 91767-3028

NPI assigned

May 8, 2019

Last updated

May 8, 2019By 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

Paul Sucgang, DONPI 1205843711

Title

Owner

Phone

(909) 622-2345

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Paul Sucgang, D.O.

  • Family Medicine Physician
  • San Gabriel, CA
  • NPI 1205843711
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1356906937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR STE 201",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-389-8448",
            "fax_number": "626-768-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE STE 307",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGV FAMILY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SUCGANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-622-2345",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Seuylemezian
• Sevbenoa, Inc. (Scoville Villa)
• Alyssa Sevick
• John Joseph Benedict Sevilla
• Vanessa Joanna Sevilla I
• Alexandra Miriam Shafa
• Brian Shafter
• Romina Shah Hosseini
• Afrah Ali Shah, ASW
• Aruna Udau Shah, MD

• Family Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.