Memorial Healthcare Ipa GP C/O Independent Physician MGNT Servic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEMORIAL HEALTHCARE IPA GP C/O INDEPENDENT PHYSICIAN MGNT SERVIC

Practice address

2704 E Willow St
Signal Hill, CA 90755-2217

Phone

(562) 595-0203

Fax

(562) 595-0062

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kurt M Tamaru, MD

Title

President

Phone

(562) 981-9500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Abelardo Pita, MD

  • Family Medicine Physician
  • Seal Beach, CA
  • NPI 1831118900
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1770772824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553433",
            "telephone_number": "562-981-9500",
            "fax_number": "562-506-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-595-0203",
            "fax_number": "562-595-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTHCARE IPA GP C/O INDEPENDENT PHYSICIAN MGNT SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "TAMARU",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-981-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medilink Ty LLC
• Rebeca Meza Mejia, LMFT
• Marvin De Vera Melendez Jr., MSN; NP-C
• Stephanie Melvin
• Memorial Healthcare Ipa
• Amanda Mena
• Leslie Amalia Mendoza, D.C.
• Mercury Ambulance Service LLC
• Edna Miller
• Harper Mills

• General Practice Physician in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.