York Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A40429 Issued in CA

Legal business name

YORK MEDICAL GROUP

Practice address

6027 York Blvd
Los Angeles, CA 90042-3503

Phone

(323) 256-1556

Fax

(323) 256-1836

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Raisa Heifets, MDNPI 1033208269

Title

Owner/MD

Phone

(323) 256-1556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raisa Heifets, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1033208269
  NPD (past) Authorized official

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508953563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423503",
            "telephone_number": "323-256-1556",
            "fax_number": "323-256-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423503",
            "telephone_number": "323-256-1556",
            "fax_number": "323-256-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIFETS",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "323-256-1556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A404290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• York Discount Pharmacy Inc
• York Discount Pharmacy Inc
• York Family Medical Clinic Inc
• York Glen Medical Clinic, Inc
• York Healthcare & Wellness Centre, LP
• York Professional Pharmacy
• Angelique Danesha York, LCSW
• Kristie L. York, LCSW
• Mikal Michelle York, BSN, RN
• Dorla Laverne Yorke

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.