Pacific Shores Medical Group, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

PACIFIC SHORES MEDICAL GROUP, INC.

Practice address

600 N Garfield Ave
Ste 210
Monterey Park, CA 91754-1166

Phone

(626) 573-8145

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Nerses Simon Tchekmedyian, M.D.

Title

Ceo

Phone

(562) 590-0345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Hope Medical Foundation

  • Hematology & Oncology Physician
  • Long Beach, CA
  • NPI 1417968413

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc

  • Hematology & Oncology Physician
  • Irvine, CA
  • NPI 1447587050

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc

  • Hematology & Oncology Physician
  • Huntington Beach, CA
  • NPI 1598814634

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc.

  • Hematology & Oncology Physician
  • Long Beach, CA
  • NPI 1073662110

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc.

  • Hematology & Oncology Physician
  • Glendale, CA
  • NPI 1871642991

  O20040417000523

  Same enrollment

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1639375132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133271",
            "telephone_number": "562-590-0345",
            "fax_number": "562-437-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "STE 210",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-573-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SHORES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "TCHEKMEDYIAN",
        "authorized_official_first_name": "NERSES",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-590-0345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ornelas
• Corina Orozco
• Jacquelyn Ortiz Ramirez, ASW
• Savannah Alexis Ortiz
• Pacific Alliance Medical Group
• Pacific Vistas Telehealth Inc.
• Sara Marie Padilla
• Ruth Paez, PHYSICIAN ASSISTANT
• Palomino Residential Care Inc. (Grandridge Residential Care)
• Palomino Residential Care Inc. (Chalet Terrace Senior Living)

• Hematology & Oncology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.