Central Health Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CENTRAL HEALTH GROUP

Practice address

1051 Park View Dr
Suite 120
Covina, CA 91724-3700

Phone

(626) 388-2300

Fax

(626) 388-2317

NPI assigned

Nov 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin W Kirby

Title

Information Systems Director

Phone

(626) 388-2300

Specialties & licenses 1

Addresses

Other names 1

• Central Health Group Former legal business name

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679643068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PARK VIEW DR",
            "address_2": "SUITE 120",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243700",
            "telephone_number": "626-388-2300",
            "fax_number": "626-388-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PARK VIEW DR",
            "address_2": "SUITE 120",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243700",
            "telephone_number": "626-388-2300",
            "fax_number": "626-388-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "INFORMATION SYSTEMS DIRECTOR",
        "authorized_official_telephone_number": "626-388-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Health Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cynthia Ceron, BS

• Health Maintenance Organization in Covina, CA
• Providers in Covina, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.