Ad Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AD MEDICAL CORPORATION

Practice address

528 Palisades Dr # 175
Pacific Palisades, CA 90272-2844

Phone

(818) 585-5678

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Renee Dua

Title

President

Phone

(818) 585-5678

Specialties & licenses 1

Addresses

Locations

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

• Matthew Duda

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1992116735

  Internal Medicine

  NPD (past)
• Gholam H Farboody, MD

  • Specialist
  • Glendale, CA
  • NPI 1831110923
  NPD (past)
• Hoang Vu Khac Pham, DPT

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1962170134

  Physical Therapy

  NPD (past)
• Suzanne Raspa, PT, DPT

  • Physical Therapist
  • Cardiff by the Sea, CA
  • NPI 1528533411
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1669928560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PALISADES DR # 175",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 PALISADES DR # 175",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722844",
            "telephone_number": "818-585-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DUA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-585-5678"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pacific Palisades, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.