Organization Active NPI

Tweedy Family Clinic, Inc

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1407074545
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56258 Issued in CA
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.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A56258 CA Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.