Organization Active NPI

Quality Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1740817212
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUALITY MEDICAL GROUP INC
Practice address
5230 Pacific Concourse Dr Ste 110
Los Angeles, CA 90045-6258
Phone
(310) 649-4800
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Dwight W Malone, MDNPI 1093886269
Title
President
Phone
(310) 649-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5230 Pacific Concourse Dr Ste 110
Los Angeles, CA 90045-6258

Mailing address

5230 Pacific Concourse Dr Ste 110
Los Angeles, CA 90045-6258
Phone (310) 649-4800

National Provider Directory

National Provider Directory

Locations

5230 Pacific Concourse Dr
Ste 110
Los Angeles, CA 90045
Phone (310) 643-0821

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1740817212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 PACIFIC CONCOURSE DR STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456258",
            "telephone_number": "310-649-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 PACIFIC CONCOURSE DR STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456258",
            "telephone_number": "310-649-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-649-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.