Organization Active NPI

International Media Arts Corporation

Doing business as IMAC Medical Group

  • Family Medicine Physician
  • Newhall, CA
National Provider Identifier
1700277795
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERNATIONAL MEDIA ARTS CORPORATION
Doing business as
IMAC Medical Group
Practice address
24237 Main St
Newhall, CA 91321-2907
Phone
(661) 259-6302
Fax
(661) 259-6309
NPI assigned
Feb 11, 2015
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Musabbir Hossain Chowdhury
Title
President
Phone
(661) 259-6302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

24237 Main St
Newhall, CA 91321-2907

Mailing address

24237 Main St
Newhall, CA 91321-2907
Phone (661) 259-6302

Other names 1

  • IMAC Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1700277795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24237 MAIN ST",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212907",
            "telephone_number": "661-259-6302",
            "fax_number": "661-259-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24237 MAIN ST",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212907",
            "telephone_number": "661-259-6302",
            "fax_number": "661-259-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDIA ARTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "MUSABBIR",
        "authorized_official_middle_name": "HOSSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-259-6302"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAC Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAC Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.