Active NPI
Norcross Family Medicine, Inc.
- Family Medicine Physician
- Rolling Hills Estates, CA
National Provider Identifier
1457574519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORCROSS FAMILY MEDICINE, INC.
- Practice address
- 65A Peninsula Center
Rolling Hills Estates, CA 90274-3808 - Phone
- (310) 541-8919
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gwenne Norcross, D.O.
- Title
- President
- Phone
- (310) 541-8919
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
65A Peninsula Center
Rolling Hills Estates, CA 90274-3808
Mailing address
65A Peninsula Ctr
Rolling Hills Estates, CA 90274-3506
Phone (310) 541-8919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
65A Peninsula Ctr
Rolling Hills Estates, CA 90274
Phone (310) 541-8919
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rolling Hills Estates, CA
- NPI 1972608438
-
- Family Medicine Physician
- Rolling Hills Estates, CA
- NPI 1528113479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1457574519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65A PENINSULA CTR",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743506",
"telephone_number": "310-541-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65A PENINSULA CENTER",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743808",
"telephone_number": "310-541-8919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCROSS FAMILY MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "NORCROSS",
"authorized_official_first_name": "GWENNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-541-8919",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Hills Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.