Organization Active NPI

Health Care 2000

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1548445786
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5561 Issued in CA
Legal business name
HEALTH CARE 2000
Practice address
2402 E Florence Ave
Huntington Park, CA 90255-5727
Phone
(323) 581-6588
Fax
(323) 581-1812
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Shoaleh Yermian, D.O.NPI 1023198322
Title
Owner
Phone
(323) 581-6588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A5561 CA Primary

Addresses

Primary practice location

2402 E Florence Ave
Huntington Park, CA 90255-5727

Mailing address

2402 E Florence Ave
Huntington Park, CA 90255-5727
Phone (323) 581-6588

Other identifiers 1

IdentifierTypeStateIssuer
GR0078550MedicaidCA

National Provider Directory

National Provider Directory

Locations

2402 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-6588

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1548445786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555727",
            "telephone_number": "323-581-6588",
            "fax_number": "323-581-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555727",
            "telephone_number": "323-581-6588",
            "fax_number": "323-581-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE 2000",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "YERMIAN",
        "authorized_official_first_name": "SHOALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-581-6588",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.