NPIMap

Organization Active NPI

Global Integrated Medical Group, Inc.

  • Primary Care Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1578019485
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
GLOBAL INTEGRATED MEDICAL GROUP, INC.
Practice address
818 W Cameron Ave
West Covina, CA 91790-4136
Phone
(626) 757-8241
NPI assigned
Aug 31, 2016
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Normita Sierra
Title
President / Ceo
Phone
(626) 757-8241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

818 W Cameron Ave
West Covina, CA 91790-4136

Mailing address

818 W Cameron Ave
West Covina, CA 91790-4136
Phone (626) 757-8241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160923000187 CA Part B Supplier - Clinic/Group Practice 6709173487 Receives reassigned benefits from 35 practitioners
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

1535 W Merced Ave
Ste 202
West Covina, CA 91790
Phone (626) 337-6246

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1578019485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-757-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-757-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL INTEGRATED MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-06-04",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "NORMITA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "626-757-8241"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.