Active NPI
Tweedy Family Clinic, Inc
- Family Medicine Physician
- South Gate, CA
National Provider Identifier
1407074545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A56258
- Legal business name
- TWEEDY FAMILY CLINIC, INC
- Practice address
- 3050 Tweedy Blvd
South Gate, CA 90280-5742 - Phone
- (323) 584-1490
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Naggy Khalil
- Title
- President
- Phone
- (323) 584-1490
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1104952084
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1598784811
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A56258 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3050 Tweedy Blvd
South Gate, CA 90280-5742
Mailing address
3050 Tweedy Blvd
South Gate, CA 90280-5742
Phone (323) 584-1490
Other names 1
NPPES NPI Registry- Tweedy Medical Center Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2007.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1407074545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902805742",
"telephone_number": "323-584-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902805742",
"telephone_number": "323-584-1490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWEEDY FAMILY CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "NAGGY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-584-1490"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A56258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tweedy Medical Center Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.