Usc Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

USC FAMILY MEDICINE INC

Practice address

1400 S Grand Ave
Suite 101
Los Angeles, CA 90015-3048

Phone

(213) 744-0801

Fax

(213) 741-1434

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By 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

Dr. Carrie Nichols, M.D.

Title

Medical Director

Phone

(213) 741-1102

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386784031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-744-0801",
            "fax_number": "213-741-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-744-0801",
            "fax_number": "213-741-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-741-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usc Care Medical Group, Inc. (Usc Psychiatric Urgent Care Center)
• Usc Care Medical Non-Contracted LLC (Usc Care Nephrology)
• Usc Caruso Department, Otolaryngology-Head and Neck Surgery
• Usc Colorectal Surgeons, Inc.
• Usc Department of Surgery
• Usc Family Medicine Inc.
• Usc Family Medicine Inc.
• Usc Head & Neck Group, Inc
• Usc I.D.S. Pharmacy
• Usc Imaging Associates Inc (LAC USC Imaging Sciences Center)

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 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.

Verify at the official NPI Registry.