California Health Med GR

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CALIFORNIA HEALTH MED GR

Practice address

635 S Westlake Ave
Suite 100
Los Angeles, CA 90057-3525

Phone

(213) 386-0010

Fax

(213) 386-4190

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Josefina Viste, MD

Title

Physician

Phone

(213) 386-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1700069705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S WESTLAKE AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573525",
            "telephone_number": "213-386-0010",
            "fax_number": "213-386-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S WESTLAKE AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573525",
            "telephone_number": "213-386-0010",
            "fax_number": "213-386-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALTH MED GR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "VISTE",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-386-0010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A388150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California General Surgeons Medical Group Inc
• California General Surgeons Medical Group Inc.
• California Green Cross Clinic
• California Green Cross Clinic
• California Hand & Upper Extremity Specialists
• California Health, Alcohol &. Drug Education Program, Inc.
• California Health, Alcohol &. Drug Education Program, Inc.
• California Hearing Center
• California Heart Center Foundation
• California Hispanic Commission on Alcohol & Drug Abuse

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 6, 2015; 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.