Organization Active NPI

Bishop Family and Maternity Care Medical Clinic

  • Family Medicine Physician
  • Bishop, CA
National Provider Identifier
1407974157
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A51610 Issued in CA
Legal business name
BISHOP FAMILY AND MATERNITY CARE MEDICAL CLINIC
Practice address
153 Pioneer LN
A
Bishop, CA 93514-2557
Phone
(760) 872-7059
Fax
(760) 873-2616
NPI assigned
Mar 27, 2007
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Amr H Ramadan, M.D.NPI 1831280726
Title
Owner
Phone
(760) 872-7059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X A51610 CA Primary

Addresses

Primary practice location

153 Pioneer LN
A
Bishop, CA 93514-2557

Mailing address

PO Box 1706
Bishop, CA 93515-1706
Phone (760) 872-7059

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1407974157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935151706",
            "telephone_number": "760-872-7059",
            "fax_number": "760-873-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 PIONEER LN",
            "address_2": "A",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142557",
            "telephone_number": "760-872-7059",
            "fax_number": "760-873-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP FAMILY AND MATERNITY CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "RAMADAN",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-872-7059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.