NPIMap

Organization Active NPI

Medical Plaza of San Pedro, Inc

Doing business as San Pedro Family and Urgent Care

  • Non-Pharmacy Dispensing Site
  • San Pedro, CA
National Provider Identifier
1447595723
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
MEDICAL PLAZA OF SAN PEDRO, INC
Doing business as
San Pedro Family and Urgent Care
Practice address
529 W 7TH St
San Pedro, CA 90731-3115
Phone
(310) 831-1535
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL PLAZA OF SAN PEDRO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Mehdi Tahsini, MD
Title
Medical Director
Phone
(310) 831-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

529 W 7TH St
San Pedro, CA 90731-3115

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • San Pedro Family and Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Plaza of San Pedro4 organizations share this tax ID, including this one
Part of
Medical Plaza of San Pedro

Other organizations with this tax ID 3

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

Locations

529 W 7th St
San Pedro, CA 90731
Phone (310) 831-0003

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1447595723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-831-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA OF SAN PEDRO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL PLAZA OF SAN PEDRO, INC",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "TAHSINI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-831-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Family and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.