Active NPI
Healthcare Providers of California Medical Group, Inc
- Internal Medicine Physician
- Canoga Park, CA
National Provider Identifier
1376574285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51621
- Legal business name
- HEALTHCARE PROVIDERS OF CALIFORNIA MEDICAL GROUP, INC
- Practice address
- 24425 Woolsey Canyon Rd
#11
Canoga Park, CA 91304-1131 - Phone
- (818) 713-1115
- Fax
- (818) 713-1116
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward John Giaquinto Jr., PH.D.
- Title
- President
- Phone
- (818) 421-2799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51621 | CA | Primary |
Addresses
Primary practice location
24425 Woolsey Canyon Rd
#11
Canoga Park, CA 91304-1131
Mailing address
24425 Woolsey Canyon Rd
#11
Canoga Park, CA 91304-1131
Phone (818) 713-1115
National Provider Directory
National Provider Directory- Tax ID family
- Healthcare Providers of California Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- San Ysidro, CA
- NPI 1003846486
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Woodland Hills, CA
- NPI 1992756977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376574285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24425 WOOLSEY CANYON RD",
"address_2": "#11",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913041131",
"telephone_number": "818-713-1115",
"fax_number": "818-713-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24425 WOOLSEY CANYON RD",
"address_2": "#11",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913041131",
"telephone_number": "818-713-1115",
"fax_number": "818-713-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE PROVIDERS OF CALIFORNIA MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIAQUINTO",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-421-2799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.