South Bay Psychiatric Medical Group, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G12654 Issued in CA

Legal business name

SOUTH BAY PSYCHIATRIC MEDICAL GROUP, INC.

Practice address

3812 Sepulveda Blvd
Suite 340
Torrance, CA 90505-2479

Phone

(310) 326-5102

Fax

(310) 303-7906

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edwin George Caine, M.D.NPI 1225109747

Title

Owner

Phone

(310) 326-5102

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Edwin George Caine, M.D.

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1225109747
  NPD (past) Authorized official
• David Jan Feldman, PHD

  • Marriage & Family Therapist
  • Torrance, CA
  • NPI 1437353141
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1770655714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052479",
            "telephone_number": "310-326-5102",
            "fax_number": "310-303-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 SEPULVEDA BLVD",
            "address_2": "SUITE 340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052479",
            "telephone_number": "310-326-5102",
            "fax_number": "310-303-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY PSYCHIATRIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "CAINE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-326-5102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G12654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Nikkei Pediatric Medical Group
• South Bay Optometry, Inc.
• South Bay Orthopaedic Specialists Medical Center a Medical Partnership
• South Bay Otolaryngology Head and Neck Surgery a Medical Corporation
• South Bay Plastic Surgeons, Inc. (South Bay Plastic Surgeons)
• South Bay Psychological Center
• South Bay Sleep Center
• South Bay Sleep Center LLC
• South Bay Speech Therapy Clinic, PC
• South Bay Sports Medicine Physical Therapy Inc.

• Psychiatry Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.