Organization Active NPI

Ros Medical Group Inc

  • Family Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1417463563
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROS MEDICAL GROUP INC
Practice address
1730 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-3928
Phone
(626) 573-1252
NPI assigned
Dec 26, 2017
Organization subpart
Yes
Parent organization
ROS MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Singh Ahn Boun, MDNPI 1801855028
Title
Ceo
Phone
(626) 382-1263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1730 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-3928

Mailing address

409 W Main St
Alhambra, CA 91801-3433
Phone (626) 382-1263

Other names 1

  • ROS MEDICAL GROUP - SAN GABRIEL Other name

National Provider Directory

National Provider Directory
Tax ID family
Ros Medical Group Inc2 organizations share this tax ID, including this one
Part of
Ros Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1730 S San Gabriel Blvd
Ste B
San Gabriel, CA 91776
Phone (626) 573-1252

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1417463563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W MAIN ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013433",
            "telephone_number": "626-382-1263",
            "fax_number": "626-382-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763928",
            "telephone_number": "626-573-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROS MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROS MEDICAL GROUP INC",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "BOUN",
        "authorized_official_first_name": "SINGH",
        "authorized_official_middle_name": "AHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-382-1263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROS MEDICAL GROUP - SAN GABRIEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.