La Fe Medical Group

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A45272 Issued in CA

Legal business name

LA FE MEDICAL GROUP

Practice address

3000 East 1St Street
Los Angeles, CA 90063-2807

Phone

(323) 262-6935

Fax

(323) 262-3109

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Angelica Barrientos

Title

Administrator

Phone

(323) 262-6935

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anil Krishnakumar Gandhi, M.D.

  • Surgery Physician
  • Cerritos, CA
  • NPI 1972824753
  Medicare reassignment NPD
• Jose M Diaz, M.D

  • Pediatrics Physician
  • Downey, CA
  • NPI 1427078781
  Medicare reassignment
• Benigno Reyes Reyes Jr., MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1144395559
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1609056639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EAST 1ST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632807",
            "telephone_number": "323-262-6935",
            "fax_number": "323-262-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 EAST 1ST STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632807",
            "telephone_number": "323-262-6935",
            "fax_number": "323-262-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-262-6935",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A45272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W13455",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Express Medical Transportation, Inc
• La Familia Medical Group, Inc.
• La Family Foot & Ankle PC a California Podiatry Corporation
• La Family Home Health Inc
• La Fast Inc
• Kacie La Forest
• La Fuente Hollywood Treatment Center LLC
• La Fuente Hollywood Treatment Center LLC
• La Good Care
• Bianca La Haye

• Legal Medicine in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.