Active NPI
St. Francis Multispecialty Medical Group, Inc.
- Family Medicine Physician
- Lynwood, CA
National Provider Identifier
1497964548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. FRANCIS MULTISPECIALTY MEDICAL GROUP, INC.
- Practice address
- 3628 E Imperial Hwy
Suite #303
Lynwood, CA 90262-2643 - Phone
- (310) 900-7360
- NPI assigned
- May 22, 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. Marcie Martinez
- Title
- Account Manager
- Phone
- (714) 452-1961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3628 E Imperial Hwy
Suite #303
Lynwood, CA 90262-2643
Mailing address
3621 Martin Luther King Jr Blvd
Suite #8
Lynwood, CA 90262-3512
Phone (310) 637-0677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0080600 | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0899033 | St Francis Multispecialty Medical Group, Inc | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
3621 Martin Luther King Jr Blvd
Ste 8
Lynwood, CA 90262
Phone (310) 637-0677
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lynwood, CA
- NPI 1366487357
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1336177203
-
- Family Medicine Physician
- Indio, CA
- NPI 1922041235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497964548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE #8",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623512",
"telephone_number": "310-637-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 E IMPERIAL HWY",
"address_2": "SUITE #303",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622643",
"telephone_number": "310-900-7360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. FRANCIS MULTISPECIALTY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "MARCIE",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "714-452-1961",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0080600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
- St Francis Medical Center Gas, Inc
- St Francis Radiology Medical Group
- St Francis Turiya Anesthesia
- St. Francis Medical Center - CCC
- St. Francis Multispecialty Medical Group, Inc.
- St. Francis Pathology Medical Group
- St. Francis Primary Care Medical Group, Inc.
- St. Johns Community Health
- St.Francis Medical Center
- Chelsea Alexandria Staine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.