Ivan L Breed MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A31294 Issued in CA

Legal business name

IVAN L BREED MD INC

Practice address

605 E Badillo St
Suite 110
Covina, CA 91723-2846

Phone

(626) 917-5999

Fax

(626) 917-5999

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Ivan L Breed, MD

Title

President/Owner

Phone

(626) 917-5999

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jose Gabriel Castellanos, M.D.

  • Family Medicine Physician
  • Covina, CA
  • NPI 1669486783
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1669478228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4609",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917234609",
            "telephone_number": "626-917-5999",
            "fax_number": "626-917-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E BADILLO ST",
            "address_2": "SUITE 110",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232846",
            "telephone_number": "626-917-5999",
            "fax_number": "626-917-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN L BREED MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "BREED",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-917-5999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A31294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Isham
• Joselynn Isiordia
• Stephanie Islas
• It'S an Everybody Thing Marriage Family Therapy
• Bill Suranaronk Ito, ATC
• Camille Iverson
• Leilani Iwankiw
• Jose Antonio Ixta-Matute
• Adelina Ixta
• Kristine Veronica Izedi, MS

• Family Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.