Organization Active NPI

San Gabriel River Medical Group, P.C.

  • Specialist
  • Bellflower, CA
National Provider Identifier
1528430253
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SAN GABRIEL RIVER MEDICAL GROUP, P.C.
Doing business as
San Gabriel River Medical Group, P.C.
Practice address
9500 Artesia Blvd
Bellflower, CA 90706-6511
Phone
(562) 867-6464
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Adil R Mazhar, MD
Title
President
Phone
(562) 548-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9500 Artesia Blvd
Bellflower, CA 90706-6511

Mailing address

17777 Center Court Dr N
600
Cerritos, CA 90703-9320
Phone (562) 548-7474

Other names 1

  • San Gabriel River Medical Group, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

9500 Artesia Blvd
Bellflower, CA 90706
Phone (562) 804-8687

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1528430253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 CENTER COURT DR N",
            "address_2": "600",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039320",
            "telephone_number": "562-548-7474",
            "fax_number": "562-548-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ARTESIA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066511",
            "telephone_number": "562-867-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL RIVER MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "MAZHAR",
        "authorized_official_first_name": "ADIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-548-7474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Gabriel River Medical Group, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.