Organization Active NPI

Medical Resource Inc

Doing business as Mobile Medical Resource Inc

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1558762484
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70389 Issued in CA
Legal business name
MEDICAL RESOURCE INC
Doing business as
Mobile Medical Resource Inc
Practice address
5150 Candlewood St
Suite 9E
Lakewood, CA 90712-1925
Phone
(562) 920-9200
NPI assigned
Sep 10, 2014
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Winifred Williams, M.D.NPI 1982788253
Title
Physician
Phone
(323) 434-0434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70389 CA Primary
Pediatrics Physician 208000000X A70389 CA

Addresses

Primary practice location

5150 Candlewood St
Suite 9E
Lakewood, CA 90712-1925

Mailing address

5150 Candlewood St
Suite 9E
Lakewood, CA 90712-1925
Phone (562) 920-9200

Other names 1

  • Mobile Medical Resource Inc Doing business as

National Provider Directory

National Provider Directory

Locations

5150 Candlewood St
Ste 6A
Lakewood, CA 90712
Phone (562) 920-9200

5150 Candlewood St
Ste 9E
Lakewood, CA 90712
Phone (562) 920-9200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1558762484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST",
            "address_2": "SUITE 9E",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "562-920-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST",
            "address_2": "SUITE 9E",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "562-920-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RESOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-434-0434",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70389",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A70389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medical Resource Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.