Organization Active NPI

Gentle Care Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1518667245
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENTLE CARE MEDICAL GROUP INC
Practice address
1211 N Vermont Ave Ste 100
Los Angeles, CA 90029-1748
Phone
(818) 209-7575
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Richard Bardowell, MD
Title
President
Phone
(818) 209-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1211 N Vermont Ave Ste 100
Los Angeles, CA 90029-1748

Mailing address

1211 N Vermont Ave Ste 100
Los Angeles, CA 90029-1748
Phone (818) 209-7575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1518667245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "818-209-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "818-209-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "BARDOWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-209-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.