Active NPI
United Family Medical Center
- Gastroenterology Physician
- Norwalk, CA
National Provider Identifier
1457614240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C41277
- Legal business name
- UNITED FAMILY MEDICAL CENTER
- Practice address
- 10941 Firestone Blvd
Norwalk, CA 90650-2242 - Phone
- (562) 864-4200
- NPI assigned
- Jun 18, 2012
- Last updated
- Jun 18, 2012
- 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
- Iaonnis G Giannikopoulos, MD
- Title
- Medical Director
- Phone
- (562) 864-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C41277 | CA | Primary |
Addresses
Primary practice location
10941 Firestone Blvd
Norwalk, CA 90650-2242
Mailing address
10941 Firestone Blvd
Norwalk, CA 90650-2242
Phone (562) 864-4200
National Provider Directory
National Provider DirectoryLocations
10941 Firestone Blvd
Norwalk, CA 90650
Phone (562) 864-4200
Practitioners & affiliated clinicians
Practitioners 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1457614240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10941 FIRESTONE BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502242",
"telephone_number": "562-864-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10941 FIRESTONE BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502242",
"telephone_number": "562-864-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "GIANNIKOPOULOS",
"authorized_official_first_name": "IAONNIS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-864-4200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C41277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.