Organization Active NPI

Clinic

  • Clinic/Center
  • Nashville, TN
National Provider Identifier
1649034844
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLINIC
Practice address
120 Maplewood Trce
Nashville, TN 37207-3019
Phone
(562) 283-8803
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Zhou FangNPI 1710741012
Title
Chairman
Phone
(562) 283-8803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

120 Maplewood Trce
Nashville, TN 37207-3019

Mailing address

123 Allen St Apt 15
New York, NY 10002-3054

Other practice location 1

18 Bowery
New York, NY 10013-5101
Phone (332) 203-3032

National Provider Directory

National Provider Directory

Locations

18 Bowery
New York, NY 10013
Phone (332) 203-3032

110 Maplewood Trce
Apt 112
Nashville, TN 37207

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1649034844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ALLEN ST APT 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAPLEWOOD TRCE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372073019",
            "telephone_number": "562-283-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Bowery",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100135101",
            "country_code": "US",
            "telephone_number": "332-203-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "ZHOU",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "562-283-8803"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.