Organization Active NPI

Careone Medical Group, Inc.

  • Family Medicine Physician
  • Diamond Bar, CA
National Provider Identifier
1487875191
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.