Organization Active NPI

Reshealth Medical Group, Apc

  • Internal Medicine Physician
  • Ontario, CA
National Provider Identifier
1548682545
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESHEALTH MEDICAL GROUP, APC
Practice address
2920 Inland Empire Blvd
Suite 108
Ontario, CA 91764-5564
Phone
(310) 817-6364
Fax
(310) 848-1347
NPI assigned
Jan 9, 2014
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Zain Vally-Mahomed, M.D.
Title
Medical Director
Phone
(310) 817-6364

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

2920 Inland Empire Blvd
Suite 108
Ontario, CA 91764-5564

Mailing address

703 Pier Ave
Ste B812
Hermosa Beach, CA 90254-3949
Phone (310) 817-6364

National Provider Directory

National Provider Directory

Locations

703 Pier Ave
Ste B812
Hermosa Beach, CA 90254

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1548682545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "address_2": "STE B812",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543949",
            "telephone_number": "310-817-6364",
            "fax_number": "310-848-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 INLAND EMPIRE BLVD",
            "address_2": "SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645564",
            "telephone_number": "310-817-6364",
            "fax_number": "310-848-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESHEALTH MEDICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "VALLY-MAHOMED",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-817-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.