Primary Access Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A36774 Issued in CA

Legal business name

PRIMARY ACCESS MEDICAL GROUP, INC

Practice address

273 E South St
Long Beach, CA 90805-4631

Phone

(562) 728-9600

Fax

(562) 422-9011

NPI assigned

Dec 16, 2008

Organization subpart

No

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

Authorized official

Name

Brent Pratley, MD

Title

Medical Director

Phone

(562) 728-9600

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Elena G Ezpeleta, MD

  • Anesthesiology Physician
  • Hawaiian Gardens, CA
  • NPI 1871656488
  NPD (past)
• Suchandra P Turner, M.D.

  • General Practice Physician
  • Long Beach, CA
  • NPI 1073789996
  NPD (past)
• Robert J Villapania, DC

  • Chiropractor
  • Hesperia, CA
  • NPI 1609074079
  NPD (past)

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1801032164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730607",
            "telephone_number": "909-971-9334",
            "fax_number": "909-971-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054631",
            "telephone_number": "562-728-9600",
            "fax_number": "562-422-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY ACCESS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "PRATLEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-728-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54374",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin C Prichard, M.D.
• Pride Detox LLC
• Douglas Wayne Priestley, M.D.
• Jessica Prieto
• Laura Prieto
• Prime RX, Inc.
• Krystin Prince
• Nichole Prince
• Priority Care Home Health LLC
• Proactive Hospice Inc

• General Practice Physician in Long Beach, CA
• Providers in Long Beach, 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 Dec 16, 2008; 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.