Professional Medical Group Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PROFESSIONAL MEDICAL GROUP INC

Doing business as

Life Saver Urgent Care

Practice address

20054 Hawthorne Blvd
Torrance, CA 90503-1518

Phone

(310) 626-4997

Fax

(310) 626-4677

NPI assigned

Dec 7, 2023

Last updated

Jun 27, 2024By 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

Rafael Arturo Penunuri, MDNPI 1831270362

Title

President

Phone

(949) 697-9954

Specialties & licenses 1

Addresses

Other names 1

• Life Saver Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Rafael Arturo Penunuri, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1831270362
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1376310516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN AVE STE 190",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053777",
            "telephone_number": "310-626-4997",
            "fax_number": "310-626-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20054 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031518",
            "telephone_number": "310-626-4997",
            "fax_number": "310-626-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "PENUNURI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-697-9954",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Saver Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Saver Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.