Joseph M Molina MD Professional Association - Florida

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOSEPH M MOLINA MD PROFESSIONAL ASSOCIATION - FLORIDA

Doing business as

Molina Medical Group of Florida

Practice address

3514 Broadway
Riviera Beach, FL 33404-2332

Phone

(561) 223-4573

Fax

(877) 860-2271

NPI assigned

May 14, 2013

Last updated

Apr 23, 2015By 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

Gloria Calderon

Title

Vice President, Clinic Operations

Phone

(562) 491-7053

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Molina Medical Group of Florida Doing business as

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.

• Keith Wilson

  • Obstetrics & Gynecology Physician
  • Montebello, CA
  • NPI 1730183344
  NPD

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1366888638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-499-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 BROADWAY",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042332",
            "telephone_number": "561-223-4573",
            "fax_number": "877-860-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M MOLINA MD PROFESSIONAL ASSOCIATION - FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "VICE PRESIDENT, CLINIC OPERATIONS",
        "authorized_official_telephone_number": "562-491-7053"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007624801-EF12/21/12",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DV3514- EFF 5/27/13",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molina Medical Group of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Labohranique Johnson
• Wendy Johnson
• Janae Deshara Jones
• Kayla Frankowski Jones
• Stephanie V. Jones, BS
• Joseph Molina MD Professional Assoc. FL (Molina Riviera Beach)
• Di'Necia Josie
• Billine Jourdan, PSYD
• Josette Jourdan, M.D.
• Jupiter Therapy LLC

• Family Medicine Physician in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.