Organization Active NPI

We Care Family Medical Group

  • Health Service Clinic/Center
  • Lynwood, CA
National Provider Identifier
1467858894
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A42863 Issued in CA
Legal business name
WE CARE FAMILY MEDICAL GROUP
Practice address
3737 Martin Luther King Jr Blvd
Suite 605
Lynwood, CA 90262-3513
Phone
(310) 639-9363
Fax
(310) 639-9251
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Shelia Diane Abby
Title
Office Manager
Phone
(310) 639-9363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A42863 CA Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd
Suite 605
Lynwood, CA 90262-3513

Mailing address

3737 Martin Luther King Jr Blvd
Suite 605
Lynwood, CA 90262-3513
Phone (310) 639-9363

Other identifiers 1

IdentifierTypeStateIssuer
00A428630MedicaidCA

National Provider Directory

National Provider Directory

Locations

2110 N Santa Fe Ave
Compton, CA 90222

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1467858894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 605",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-639-9363",
            "fax_number": "310-639-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 605",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "310-639-9363",
            "fax_number": "310-639-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ABBY",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-639-9363"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A42863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A428630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.