NPIMap

Organization Active NPI

Health Link Medical Group Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Rafael, CA
National Provider Identifier
1750818860
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
HEALTH LINK MEDICAL GROUP INC
Practice address
899 Northgate Dr Ste 400
San Rafael, CA 94903-3667
Phone
(415) 223-7504
Fax
(415) 223-7505
NPI assigned
May 19, 2017
Organization subpart
Yes
Parent organization
HEALTH LINK MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2017

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

Authorized official

Name
Dr. Jacob Flores, MD
Title
Chief Medical Officer
Phone
(760) 721-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

899 Northgate Dr Ste 400
San Rafael, CA 94903-3667

Mailing address

899 Northgate Dr Ste 400
San Rafael, CA 94903-3667
Phone (415) 223-7504

National Provider Directory

National Provider Directory
Part of
Health Link Medical Group Inc

Locations

899 Northgate Dr
San Rafael, CA 94903
Phone (415) 223-7504

899 Northgate Dr
Ste 400
San Rafael, CA 94903
Phone (415) 223-6078

Practitioners & affiliated clinicians

Practitioners 4

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": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495152000000",
    "number": "1750818860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 400",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033667",
            "telephone_number": "415-223-7504",
            "fax_number": "415-223-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 400",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033667",
            "telephone_number": "415-223-7504",
            "fax_number": "415-223-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LINK MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH LINK MEDICAL GROUP INC",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "760-721-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.