Genesis Family Care Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GENESIS FAMILY CARE MEDICAL GROUP, INC.

Practice address

520 N Prospect Avenue
Suite 102
Redondo Beach, CA 90277-3041

Phone

(310) 374-7655

Fax

(310) 372-7026

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Ronald J Ruby, MD

Title

President of Group

Phone

(310) 545-6627

Specialties & licenses 1

Addresses

Other names 1

• Pacific Coast Family Medical Group Doing business as

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1528071008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD",
            "address_2": "SUITE 102",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665948",
            "telephone_number": "310-545-6627",
            "fax_number": "310-545-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVENUE",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-374-7655",
            "fax_number": "310-372-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF GROUP",
        "authorized_official_telephone_number": "310-545-6627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Coast Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela R Geam
• John F Gebhard, M.D.
• Brian Ming Gee, M.D.
• Chelsea C Geise, PSYD
• Kelly Nicole Genberg
• Nicole Gentry, P.A.
• George Eric Alexander a Medical Corporation
• George J. Rederich, MD, Inc.
• Jerry Robert Gerson, MD
• Tina Mersadi Ghahramani

• Internal Medicine Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.