Atc Health Services Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ATC HEALTH SERVICES INC.

Doing business as

Active MD Medical Group

Practice address

1925 Royal Ave Ste B
Simi Valley, CA 93065-4619

Phone

(805) 501-5715

Fax

(818) 794-6036

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By 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

Archana Thukral

Title

Administrator

Phone

(805) 501-5715

Specialties & licenses 1

Addresses

Other names 1

• ACTIVE MD MEDICAL GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Su-Yen Chen, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1891995049
  NPD
• Michael Chunghan Ling, APRN, FNP-C

  • Family Nurse Practitioner
  • Cerritos, CA
  • NPI 1255990461
  NPD

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1700439817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ROYAL AVE STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654619",
            "telephone_number": "805-501-5715",
            "fax_number": "818-794-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ROYAL AVE STE B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654619",
            "telephone_number": "805-501-5715",
            "fax_number": "818-794-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATC HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "THUKRAL",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-501-5715"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE MD MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, 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 Jul 17, 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.