Amg, a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AMG, A PROFESSIONAL MEDICAL CORPORATION

Practice address

4528 Slauson Ave
Maywood, CA 90270-2934

Phone

(213) 792-4456

NPI assigned

Nov 21, 2023

Last updated

Nov 28, 2023By 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

Thomas S. Lam, MD

Title

Chief Executive Officer

Phone

(626) 943-6228

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Amg a Prof Medical Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Amg, a Professional Medical Corp

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1497790349
  NPD tax ID
• Amg, a Professional Medical Corporation

  dba Astrana Gastorenterology

  • Gastroenterology Physician
  • Alhambra, CA
  • NPI 1518886969
  NPD tax ID

Locations

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1417722232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702934",
            "telephone_number": "213-792-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702934",
            "telephone_number": "213-792-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Whittier Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900231746",
            "country_code": "US",
            "telephone_number": "213-792-4456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3564 Santa Anita Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917312458",
            "country_code": "US",
            "telephone_number": "213-792-4456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2765 E Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902555750",
            "country_code": "US",
            "telephone_number": "213-792-4456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3518 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900052902",
            "country_code": "US",
            "telephone_number": "213-792-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMG, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-943-6228",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Alano, D.D.S.
• Rosalie Alcantara, NP
• Alejandro M. Arredondo, O. D. Optometric Corporation
• Mayra Alvarez, LCSW
• Narissa Bawalan Ambata, DDS
• Andmore Medical Group (Clinica Humanitaria)
• Andy Medical, Inc
• Cesar E Aranguri, M.D.
• Ardmore Medical Group (Clinica Humanitaria)
• Ardmore Medical Group (Clinica Humanitaria)

• Family Medicine Physician in Maywood, CA
• Providers in Maywood, 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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.