Rampart Multi-Specialty Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A38823 Issued in CA

Legal business name

RAMPART MULTI-SPECIALTY MEDICAL GROUP INC

Practice address

235 W Carson St
Carson, CA 90745-2604

Phone

(310) 834-4233

Fax

(310) 834-3356

NPI assigned

May 9, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Chua Aguilera, M.D.NPI 1114015500

Title

Ceo President

Phone

(310) 834-4233

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel C Aguilera, M.D.

  • Cardiovascular Disease Physician
  • Carson, CA
  • NPI 1114015500
  Medicare reassignment Authorized official
• Melvin Lazaro Agatep, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1851440036
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1801000245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452604",
            "telephone_number": "310-834-4233",
            "fax_number": "310-834-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452604",
            "telephone_number": "310-834-4233",
            "fax_number": "310-834-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMPART MULTI-SPECIALTY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "CHUA",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "310-834-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A38823",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Hie Quinn, MS, RDN
• Kristel Quinto, LCSW
• Diego Max Quispe Huaman
• R3New Wellness Inc
• Amalia Racca Racimo, NP
• Sagrario Yamali Rapalo-Martinez, PT
• Rebecca Almoneda Raton, D.D.S
• Tracey K Reed
• Guillermo A Regalado, MFT
• Rehabilitation Excellence Services Inc

• Cardiovascular Disease Physician in Carson, CA
• Providers in Carson, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.