Florence Western Medical Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52385 Issued in CA

Legal business name

FLORENCE WESTERN MEDICAL CLINIC, INC

Practice address

13500 Van Nuys Blvd
Pacoima, CA 91331-3028

Phone

(818) 896-2999

Fax

(818) 896-8449

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Kevin Charles Thomas, MD

Title

MD/Owner

Phone

(323) 778-2131

Specialties & licenses 1

Addresses

Other names 1

• Medicina Familiar Medical Group Doing business as

Tax ID family

Florence Western Med CLNC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Florence Western Medical Clinic Inc

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1891123782
  NPD tax ID
• Florence Western Medical Clinic, Inc

  • General Practice Physician
  • Canoga Park, CA
  • NPI 1437495462
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1376888024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472254",
            "telephone_number": "818-896-2999",
            "fax_number": "818-896-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313028",
            "telephone_number": "818-896-2999",
            "fax_number": "818-896-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE WESTERN MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "323-778-2131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicina Familiar Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Louise Feng, MFT
• Maria Isabel Fernandez
• Fatima Jovellanos Ferreras, LMFT
• Carol Margarete Ferris
• Wendy Janet Fields, M.D.
• Claudia Flores
• Daniel Flores
• Donna Elaine Flores
• Lira Flores
• Angela L Flowers-Dortch, MA

• Family Medicine Physician in Pacoima, CA
• Providers in Pacoima, 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 Apr 19, 2013; 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.