Primax Healthcare Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G45164 Issued in CA

Legal business name

PRIMAX HEALTHCARE ASSOCIATES, INC.

Practice address

4477 W 118TH St
Suite 302
Hawthorne, CA 90250-2255

Phone

(310) 675-6347

Fax

(310) 518-1600

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hosea Brown III, M.D.NPI 1629159397

Title

President

Phone

(310) 675-6347

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Hosea Brown III, M.D.

  • Internal Medicine Physician
  • Aliso Viejo, CA
  • NPI 1629159397
  NPD (past) Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1528255684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91336",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091336",
            "telephone_number": "310-675-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST",
            "address_2": "SUITE 302",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-675-6347",
            "fax_number": "310-518-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAX HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HOSEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-675-6347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "W13679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.