Nationwide Medical Group, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

NATIONWIDE MEDICAL GROUP, INC

Practice address

625 E Main St
Santa Paula, CA 93060-2608

Phone

(805) 525-4669

Fax

(805) 525-5799

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Girgis, M.D.

Title

Director

Phone

(661) 861-9967

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1609923010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 REMMET AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031531",
            "telephone_number": "818-206-0360",
            "fax_number": "818-206-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602608",
            "telephone_number": "805-525-4669",
            "fax_number": "805-525-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-861-9967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008716B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Brian Montiel Lacanilao, RN
• Rogelio Montiel, LVN
• Grace Mouton
• Ayesha Zanira Naiche, LVN
• Preetinder Narang, BCBA
• Tung Nguyen, RPH
• Nick C. Luizzi, DDS, a Professional Corportion
• April Nickerson
• Nirup Reddy & Bortay Dehnadi DDS Inc
• No Cover, Inc.

• Community Health Clinic/Center in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.