Organization Active NPI

BP Medical Group Inc

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Buena Park, CA
National Provider Identifier
1750056545
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
Legal business name
BP MEDICAL GROUP INC
Practice address
5450 Beach Blvd Ste 100
Buena Park, CA 90621-1277
Phone
(818) 288-2757
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Kevin DO, MD
Title
Director
Phone
(818) 288-2757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081N0008X Primary

Addresses

Primary practice location

5450 Beach Blvd Ste 100
Buena Park, CA 90621-1277

Mailing address

5450 Beach Blvd Ste 100
Buena Park, CA 90621-1277
Phone (818) 288-2757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1750056545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 BEACH BLVD STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211277",
            "telephone_number": "818-288-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 BEACH BLVD STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211277",
            "telephone_number": "818-288-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BP MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-288-2757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.