Organization Active NPI

First Choice Mobile Medicine, Inc.

  • Primary Care Clinic/Center
  • Pasadena, CA
National Provider Identifier
1740691047
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
55037 Issued in CA
Legal business name
FIRST CHOICE MOBILE MEDICINE, INC.
Practice address
1650 E Walnut St
Pasadena, CA 91106-1619
Phone
(844) 636-6245
Fax
(844) 636-6245
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Mr. Angel Bustamante, PA-C
Title
Executive Administrator
Phone
(844) 636-6245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 55037 CA Primary

Addresses

Primary practice location

1650 E Walnut St
Pasadena, CA 91106-1619

Mailing address

1650 E Walnut St
Pasadena, CA 91106-1619
Phone (844) 636-6245

National Provider Directory

National Provider Directory

Locations

1650 E Walnut St
Pasadena, CA 91106
Phone (844) 636-6245

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1740691047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061619",
            "telephone_number": "844-636-6245",
            "fax_number": "844-636-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061619",
            "telephone_number": "844-636-6245",
            "fax_number": "844-636-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MOBILE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "844-636-6245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "55037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.