Good Samaritan Medical Practice Association

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

C1335521 Issued in CA

Legal business name

GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION

Practice address

10833 Valley View St
Suite 300
Cypress, CA 90630

Phone

(562) 602-1563

Fax

(562) 220-1016

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Nupur Kumar, D.O.

Title

Medical Director

Phone

(562) 602-1563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1386606754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 VALLEY VIEW ST",
            "address_2": "SUITE 300",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "562-602-1563",
            "fax_number": "562-220-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 VALLEY VIEW ST",
            "address_2": "SUITE 300",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "562-602-1563",
            "fax_number": "562-220-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "NUPUR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-602-1563",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "C1335521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Gomez
• Lizet Gonzalez-Palomarez
• Abbel Gonzalez
• Mariah Gonzalez
• Natalie Gonzalez
• Bethany Gray, D.O.
• Wilhelmina Basco Grecia, RPH
• Denise Fitzgerald Greene, RNP
• Manpreet Gosal Grewal, DDS
• Lori Griffin, OTR/L

• Health Maintenance Organization in Cypress, CA
• Providers in Cypress, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.