Family Doctor Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G25971 Issued in CA

Legal business name

FAMILY DOCTOR MEDICAL GROUP

Practice address

160 E N St
Benicia, CA 94510-2734

Phone

(707) 745-9211

Fax

(707) 745-3015

NPI assigned

Feb 26, 2007

Last updated

Mar 28, 2008By 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. Richard Frank, MD

Title

President

Phone

(707) 745-4348

Specialties & licenses 10

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Jasvinder S. Johal, MD

  • Family Medicine Physician
  • Vacaville, CA
  • NPI 1689726804
  NPD (past)
• Bala Chandran Marar, M.D

  • Orthopaedic Surgery Physician
  • Benicia, CA
  • NPI 1801968466
  NPD (past)
• Thirumala Raju, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1447346002
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1417083965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E N ST",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102734",
            "telephone_number": "707-745-9211",
            "fax_number": "707-745-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E N ST",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102734",
            "telephone_number": "707-745-9211",
            "fax_number": "707-745-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTOR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-745-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A499399",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA16645",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G25971",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88568",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A47981",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A57270",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C42256",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C41918",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "H70813",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A27248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LORELEE SCIPIONE, PA",
            "identifier": "PA 16645",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite DME
• Catherine A Elumba, CMT
• Emani Inc (House of Namaste)
• Emani Incorporated
• Essential Care Consulting
• Family Health Center of Benicia
• Shirley De Araujo Faria Cruz
• Jeremy Ryan Faust, PHYSICAL THERAPIST
• Dorsine Lajune Ferguson
• Linda F Figueroa

• Family Medicine Physician in Benicia, CA
• Providers in Benicia, 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 Mar 28, 2008; 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.