Medco Healthcare Medical Group Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MEDCO HEALTHCARE MEDICAL GROUP INC

Practice address

355 E Rincon St Ste 217
Corona, CA 92879-1372

Phone

(951) 256-4240

Fax

(951) 256-4241

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Abdul Khan, MDNPI 1063400380

Title

President

Phone

(310) 561-0915

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.

• Abdul Rab Khan, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1063400380
  NPD Authorized official
• Helen Le, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1700644200
  NPD

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1790425833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E RINCON ST STE 217",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791372",
            "telephone_number": "951-256-4240",
            "fax_number": "951-256-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E RINCON ST STE 217",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791372",
            "telephone_number": "951-256-4240",
            "fax_number": "951-256-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO HEALTHCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-561-0915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua John McLeod
• Taylar McNeil
• Holland McWhorter
• MDMX Corporation
• Connor J Meaney, PA
• Schaylen Medeiros
• Medical Providers, Inc.
• Medical Support Los Angeles a Medical Corporation
• Angel Medina
• Claudia Medina

• Nephrology Physician in Corona, CA
• Providers in Corona, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.