Active NPI
Careone Medical Group, Inc.
- Family Medicine Physician
- Diamond Bar, CA
National Provider Identifier
1487875191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAREONE MEDICAL GROUP, INC.
- Practice address
- 2705 S Diamond Bar Blvd Ste 128
Diamond Bar, CA 91765-3557 - Phone
- (626) 965-1988
- Fax
- (626) 236-9394
- NPI assigned
- May 1, 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
- Mrs. Alice Lee
- Title
- Administrator
- Phone
- (626) 965-1988
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
2705 S Diamond Bar Blvd Ste 128
Diamond Bar, CA 91765-3557
Mailing address
2705 S Diamond Bar Blvd Ste 128
Diamond Bar, CA 91765-3557
Phone (626) 965-1988
National Provider Directory
National Provider Directory- Tax ID family
- Careone Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Diamond Bar, CA
- NPI 1043406606
Locations
2705 S Diamond Bar Blvd
Ste 128
Diamond Bar, CA 91765
Phone (626) 951-1988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1487875191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 S DIAMOND BAR BLVD STE 128",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653557",
"telephone_number": "626-965-1988",
"fax_number": "626-236-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 S DIAMOND BAR BLVD STE 128",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653557",
"telephone_number": "626-965-1988",
"fax_number": "626-236-9394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREONE MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "626-965-1988",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.