Organization Active NPI

PFC Medical, Inc.

  • General Practice Physician
  • Panorama City, CA
National Provider Identifier
1447649389
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A40845 Issued in CA
Legal business name
PFC MEDICAL, INC.
Practice address
14500 Roscoe Blvd Ste 215
Panorama City, CA 91402-4193
Phone
(818) 891-4005
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Thomas Dosumu-Johnson, MD
Title
Vice-President
Phone
(310) 343-9330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A40845 CA Primary

Addresses

Primary practice location

14500 Roscoe Blvd Ste 215
Panorama City, CA 91402-4193

Mailing address

14500 Roscoe Blvd Ste 215
Panorama City, CA 91402-4193
Phone (818) 891-4005

Other practice location 1

204 E Chevy Chase Dr Ste 2
Glendale, CA 91205-3181
Phone (818) 241-0055

National Provider Directory

National Provider Directory

Locations

14500 Roscoe Blvd
Ste 215
Panorama City, CA 91402
Phone (310) 922-2446

14500 Roscoe Blvd
Ste 201
Panorama City, CA 91402
Phone (818) 891-4000

Practitioners & affiliated clinicians

Practitioners 4

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": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1447649389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 215",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024193",
            "telephone_number": "818-891-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD STE 215",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024193",
            "telephone_number": "818-891-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 E Chevy Chase Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912053181",
            "country_code": "US",
            "telephone_number": "818-241-0055",
            "fax_number": "818-241-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PFC MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "DOSUMU-JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "310-343-9330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.