Organization Active NPI

Family Planning Associates Medical Group Inc

Doing business as FPA Women's Health

  • Ambulatory Family Planning Facility
  • Los Angeles, CA
National Provider Identifier
1457446411
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Doing business as
FPA Women's Health
Practice address
12304 Santa Monica Blvd Ste 116
Los Angeles, CA 90025-2586
Phone
(310) 820-8084
Fax
(909) 495-1301
NPI assigned
Oct 4, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Dr. Irving M. Feldkamp IV IV, MD
Title
Owner
Phone
(909) 382-0201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

12304 Santa Monica Blvd Ste 116
Los Angeles, CA 90025-2586

Mailing address

PO Box 10818
San Bernardino, CA 92423-0818
Phone (909) 382-0201

Other identifiers 2

IdentifierTypeStateIssuer
05D0668306OtherCACLIA ID
1457446411MedicaidCA

Other names 1

  • FPA Women's Health Doing business as

National Provider Directory

National Provider Directory

Locations

2777 Long Beach Blvd
Ste 200
Long Beach, CA 90806
Phone (562) 595-5653

601 S Westmoreland Ave
Los Angeles, CA 90005
Phone (213) 738-7283

12304 Santa Monica Blvd
Ste 116
West Los Angeles, CA 90025
Phone (310) 820-8084

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1457446411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10818",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230818",
            "telephone_number": "909-382-0201",
            "fax_number": "909-495-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 116",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252586",
            "telephone_number": "310-820-8084",
            "fax_number": "909-495-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "FELDKAMP IV",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-382-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "05D0668306",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457446411",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPA Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.