Your Community Medical Group Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C39834 Issued in CA

Legal business name

YOUR COMMUNITY MEDICAL GROUP INC

Practice address

6300 Florence Ave
Bell Gardens, CA 90201-8900

Phone

(562) 928-9700

Fax

(562) 928-8300

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Leroy McMillan, M.D.,

Title

Owner

Phone

(562) 928-9700

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1558660126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 FLORENCE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902018900",
            "telephone_number": "562-928-9700",
            "fax_number": "562-928-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 FLORENCE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902018900",
            "telephone_number": "562-928-9700",
            "fax_number": "562-928-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR COMMUNITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-928-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C39834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "C39834",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C398340",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C398341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shang Xie
• Analicia Ybarra, LCSW
• Anna Ybarra
• Isabel Ybarra, LCSW
• Tyesha Younger, DMD
• Richard Zaragoza
• Elvira Zazueta
• Zeinali DMD Corp (dreamhouse dental)

• Primary Care Clinic/Center in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.