Active NPI
Joseph M Molina MD Professional Association - Florida
Doing business as Molina Medical Group of Florida
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1720424096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOSEPH M MOLINA MD PROFESSIONAL ASSOCIATION - FLORIDA
- Doing business as
- Molina Medical Group of Florida
- Practice address
- 944 S Military TRL
West Palm Beach, FL 33415-3910 - Phone
- (561) 223-4081
- Fax
- (877) 778-9601
- NPI assigned
- May 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Calderon
- Title
- Vice President, Clinic Operations
- Phone
- (562) 491-7053
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA | Primary | |
| Pediatrics Physician | 208000000X | CA |
Addresses
Primary practice location
944 S Military TRL
West Palm Beach, FL 33415-3910
Mailing address
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007624800-EF12/21/12 | Medicaid | FL | |
| DV3514- EFF 7/31/12 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Molina Medical Group of Florida
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Montebello, CA
- NPI 1730183344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429747200000",
"number": "1720424096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "562-499-6191",
"fax_number": "562-499-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 S MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334153910",
"telephone_number": "561-223-4081",
"fax_number": "877-778-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH M MOLINA MD PROFESSIONAL ASSOCIATION - FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-14",
"last_updated": "2015-04-23",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "VICE PRESIDENT, CLINIC OPERATIONS",
"authorized_official_telephone_number": "562-491-7053"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007624800-EF12/21/12",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DV3514- EFF 7/31/12",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Molina Medical Group of Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
- Jose R. Nodarse MD, P.L.
- Emmanuel Jose
- Joseph L Morse Health Center, Inc. (MorseLife Memory Care Residence)
- Joseph L Morse Health Center, Inc.
- Joseph L Morse Health Center, Inc.
- Joseph Molina MD Professional Assoc. FL (Molina West Palm Beach)
- Joseph Taylor DC PA
- Joseph V Dangelo M D P a
- Delsa Joseph
- Euvenagne Joseph
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.