Physicians Integrated Medical Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

C1953423 Issued in CA

Legal business name

PHYSICIANS INTEGRATED MEDICAL GROUP

Practice address

2482 Mission St
San Francisco, CA 94110-2415

Phone

(415) 970-2545

Fax

(415) 970-1600

NPI assigned

Mar 1, 2007

Last updated

Feb 17, 2009By 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

Mr. James Rodriguez

Title

Ceo

Phone

(415) 970-2545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1417085358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415",
            "telephone_number": "415-970-2545",
            "fax_number": "415-970-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415",
            "telephone_number": "415-970-2545",
            "fax_number": "415-970-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS INTEGRATED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-970-2545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "C1953423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Phuong, PHARMD, RPH
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• Physical Therapt
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• Physicians Pathway Healthcare, Inc.
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc (Select Physical Therapy)
• Physiotherapy Associates Inc (Select Physical Therapy)
• Physiotherapy Associates Inc (Select Physical Therapy)

• Health Maintenance Organization in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.