Av Physician'S Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AV PHYSICIAN'S GROUP, INC

Practice address

3580 Santa Anita Ave Ste B
El Monte, CA 91731-2455

Phone

(415) 216-6415

NPI assigned

Dec 21, 2020

Organization subpart

Yes

Parent organization

AV PHYSICIAN'S GROUP, INCAs reported in NPPES

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

Authorized official

Name

Dr. Vishal Govil, DONPI 1851751853

Title

Ceo

Phone

(415) 216-6415

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Av Physicians Group Inc

Locations

Practitioners 4

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

• Vishal Govil, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1851751853
  Medicare reassignment Care Compare group NPD Authorized official
• Angeline Malilay Arrieta, FNP

  • Family Nurse Practitioner
  • Arcadia, CA
  • NPI 1750062147
  Medicare reassignment Care Compare group NPD
• Desirae Mutuc, FNP-C

  • Family Nurse Practitioner
  • Laguna Hills, CA
  • NPI 1215393384
  Medicare reassignment NPD
• Anika Muthiah, M.D.

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1225566656
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1366039612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 SANTA ANITA AVE STE B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312455",
            "telephone_number": "415-216-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SANTA ANITA AVE STE B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312455",
            "telephone_number": "415-216-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV PHYSICIAN'S GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AV PHYSICIAN'S GROUP, INC",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "GOVIL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-216-6415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ElMonte",
            "affiliation": "N",
            "address_1": "3580 Santa Anita Ave Ste B",
            "city": "El Monte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917312455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in El Monte, CA
• Providers in El Monte, 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 Dec 21, 2020; 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.