Organization Active NPI

NPC Medical Group, Professional Corporation

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1619772407
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NPC MEDICAL GROUP, PROFESSIONAL CORPORATION
Practice address
8665 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-2932
Phone
(323) 922-1022
Fax
(323) 922-1021
NPI assigned
Feb 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Authorized official

Name
Roberto Melendez
Title
General Manager
Phone
(323) 922-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8665 Wilshire Blvd Ste 306
Beverly Hills, CA 90211-2932

Mailing address

1002 N Vermont Ave
Los Angeles, CA 90029-2620
Phone (323) 922-1022

National Provider Directory

National Provider Directory
Tax ID family
NPC Medical Group Professional Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8665 Wilshire Blvd
Ste 306
Beverly Hills, CA 90211
Phone (323) 456-0185

NPI Registry JSON

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1619772407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "323-922-1022",
            "fax_number": "323-922-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 WILSHIRE BLVD STE 306",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112932",
            "telephone_number": "323-922-1022",
            "fax_number": "323-922-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPC MEDICAL GROUP, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "323-922-1022"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.