NPIMap

Organization Active NPI

Shrikant Tamhane, DO

Doing business as South Bay Family Medical Clinic

  • Family Medicine Physician
  • Carson, CA
National Provider Identifier
1497840748
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7213 Issued in CA
Legal business name
SHRIKANT TAMHANE, DO
Doing business as
South Bay Family Medical Clinic
Practice address
23517 Main St Ste 103
Carson, CA 90745-5234
Phone
(310) 339-4011
NPI assigned
Oct 3, 2006
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Shrikant Tamhane, D.O.NPI 1497868251
Title
Owner
Phone
(310) 339-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A7213 CA Primary

Addresses

Primary practice location

23517 Main St Ste 103
Carson, CA 90745-5234

Mailing address

28928 Crestridge Rd
Rancho Palos Verdes, CA 90275-5061
Phone (310) 339-4011

Other names 1

  • South Bay Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

25131 Narbonne Ave
Unit 1929
Lomita, CA 90717

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1497840748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28928 CRESTRIDGE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755061",
            "telephone_number": "310-339-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST STE 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455234",
            "telephone_number": "310-339-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIKANT TAMHANE, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "TAMHANE",
        "authorized_official_first_name": "SHRIKANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-339-4011",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.