Organization Active NPI

Good Samaritan Medical Practice Group Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1679823496
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C54648 Issued in CA
Legal business name
GOOD SAMARITAN MEDICAL PRACTICE GROUP INC
Practice address
1141 W 6TH St
Los Angeles, CA 90017-1828
Phone
(213) 481-0111
Fax
(213) 481-0222
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Rita Starritt, M.D.
Title
President/Ceo
Phone
(213) 481-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X C54648 CA Primary

Addresses

Primary practice location

1141 W 6TH St
Los Angeles, CA 90017-1828

Mailing address

1141 W 6TH St
Los Angeles, CA 90017-1828
Phone (213) 481-0111

National Provider Directory

National Provider Directory

Locations

1141 W 6th St
Los Angeles, CA 90017
Phone (213) 481-0111

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1679823496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171828",
            "telephone_number": "213-481-0111",
            "fax_number": "213-481-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171828",
            "telephone_number": "213-481-0111",
            "fax_number": "213-481-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN MEDICAL PRACTICE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "STARRITT",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-481-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C54648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.