Primemed Medical Associates

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMEMED MEDICAL ASSOCIATES

Practice address

501 S Vincent Ave Ste 206
West Covina, CA 91790-6712

Phone

(909) 570-7787

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Delong Cao

Title

Secretary

Phone

(626) 205-8488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Michael L. Mitchell, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Baldwin Park, CA
  • NPI 1366501967
  Medicare reassignment NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1780421925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCK SPRINGS WAY",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917026270",
            "telephone_number": "626-205-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S VINCENT AVE STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917906712",
            "telephone_number": "909-570-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEMED MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "DELONG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-205-8488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Orthotic and Prosthetic Services Inc
• Mariah Prentice
• Cary A Presant, M.D.
• Gilbert Prieto
• Prime RX West Covina Inc
• Project Raised
• Jennifer Mae Pruitt, PSY.D.
• Puente Hills Optometry Inc.
• Sandra Pulido
• Engracia Samia Punzalan, D.D.S.

• Primary Care Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.