Organization Active NPI

Santosh K Garg MD 'a Professional Medical Corporation'

  • Primary Care Clinic/Center
  • West Covina, CA
National Provider Identifier
1598933293
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A31300 Issued in CA
Legal business name
SANTOSH K GARG MD 'A PROFESSIONAL MEDICAL CORPORATION'
Practice address
1535 W Merced Ave
#300
West Covina, CA 91790-3404
Phone
(626) 962-8122
Fax
(626) 962-8408
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Santosh K Garg, MD
Title
President
Phone
(626) 962-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A31300 CA Primary

Addresses

Primary practice location

1535 W Merced Ave
#300
West Covina, CA 91790-3404

Mailing address

1535 W Merced Ave
#300
West Covina, CA 91790-3404
Phone (626) 962-8122

National Provider Directory

National Provider Directory

Locations

1535 W Merced Ave
Ste 300
West Covina, CA 91790
Phone (626) 962-8122

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1598933293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "#300",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-962-8122",
            "fax_number": "626-962-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "#300",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-962-8122",
            "fax_number": "626-962-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOSH K GARG MD 'A PROFESSIONAL MEDICAL CORPORATION'",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SANTOSH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A31300",
            "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 Feb 14, 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.