MDX Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MDX GROUP LLC

Doing business as

EAST WEST CARE SERVICES
EASTWEST CARE SERVICES

Practice address

1018 Clinton St
Redwood City, CA 94061-1723

Phone

(650) 261-3593

Fax

(888) 311-4721

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Paul Gorman, MD

Title

Licensee

Phone

(805) 400-5906

Specialties & licenses 1

Addresses

Other names 2

• EAST WEST CARE SERVICES Doing business as
• EASTWEST CARE SERVICES Doing business as

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1487311122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 CLINTON ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611723",
            "telephone_number": "650-261-3593",
            "fax_number": "888-311-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 CLINTON ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611723",
            "telephone_number": "650-261-3593",
            "fax_number": "888-311-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDX GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "805-400-5906",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST WEST CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EASTWEST CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith McKibben
• Donna Marie McKinney, RNFA
• Patricia Gialamas McMorrow, FNP-BC
• Kimberly McNutt
• Ana McParland
• Nia Meadors
• Eric Mebane, MD
• Ivy Mecano
• Christian Thomas Medellin, AU. D.
• Medexpert International, Inc.

• Assisted Living Facility in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.