BC Medical, a Professional Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A13050 Issued in CA

Legal business name

BC MEDICAL, A PROFESSIONAL MEDICAL CORPORATION

Practice address

2438 Manhattan Ave
Hermosa Beach, CA 90254-2541

Phone

(323) 333-0831

Fax

(310) 306-5555

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Kathryn Shannon McMenaman, D.O.NPI 1770849416

Title

President

Phone

(323) 333-0831

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Shannon McMenaman, D.O

  • Pediatric Critical Care Medicine Physician
  • Orange, CA
  • NPI 1770849416
  NPD (past) Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1720440258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 MANHATTAN AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542541",
            "telephone_number": "323-333-0831",
            "fax_number": "310-306-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 MANHATTAN AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542541",
            "telephone_number": "323-333-0831",
            "fax_number": "310-306-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC MEDICAL, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "MCMENAMAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-333-0831",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A13050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bartlett, PT, DPT
• Bassi Psychological Services Inc
• Sepideh H Bassi, PSY.D.
• Sara Bayles, M.A.
• Bayridge Effective Family Therapy Inc
• Beach Cities Child and Family Therapy Inc
• Beach Cities Psychological Services, Inc.
• Beach Cities Psychotherapy, a Marriage and Family Therapy Corporation
• Beach Psychology
• Beachside Nutrition Consultants

• Pediatrics Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.