Organization Active NPI

Opus Medical Center Inc.

  • Specialist
  • San Pedro, CA
National Provider Identifier
1457629107
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C 51512 Issued in CA
Legal business name
OPUS MEDICAL CENTER INC.
Practice address
1534 W 25TH St
San Pedro, CA 90732-4402
Phone
(310) 548-5656
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Romina Ghassemi, DCNPI 1740354661
Title
Clinic Director
Phone
(310) 548-5656

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 23816 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X C 51512 CA Primary

Addresses

Primary practice location

1534 W 25TH St
San Pedro, CA 90732-4402

Mailing address

1534 W 25TH St
San Pedro, CA 90732-4402
Phone (310) 548-5656

National Provider Directory

National Provider Directory

Locations

3815 Atlantic Ave
Ste 5
Long Beach, CA 90807
Phone (562) 896-3685

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1457629107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 W 25TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324402",
            "telephone_number": "310-548-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 W 25TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324402",
            "telephone_number": "310-548-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPUS MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "GHASSEMI",
        "authorized_official_first_name": "ROMINA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "310-548-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23816",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C 51512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2011; 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.