Total Care Medical Clinic Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TOTAL CARE MEDICAL CLINIC INC

Practice address

1110 W Anaheim St
Suite 6
Wilmington, CA 90744-4131

Phone

(310) 872-3560

Fax

(310) 221-8645

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Nkwain W Ngamfon, PA

Title

Administrator

Phone

(424) 215-1580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Total Care Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Total Care Mobile Medical Unit

  dba Total Care Medical Clinic lnc

  • Ph.D. Medical Genetics
  • Los Angeles, CA
  • NPI 1144778440
  NPD tax ID

Practitioners 4

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

• Polina Feygin, M.D.

  • Pediatrics Physician
  • Rancho Palos Verdes, CA
  • NPI 1962569616
  Medicare reassignment Care Compare group NPD
• Letitia Ann Pinson, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1861532301
  Medicare reassignment Care Compare group NPD
• George Flanigan III, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1477894889
  Medicare reassignment NPD
• Toyin Kuyoro

  • Primary Care Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1659788792
  Medicare reassignment NPD

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1801154463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W ANAHEIM ST",
            "address_2": "SUITE 6",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444131",
            "telephone_number": "310-872-3560",
            "fax_number": "310-221-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W ANAHEIM ST",
            "address_2": "SUITE 6",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444131",
            "telephone_number": "310-872-3560",
            "fax_number": "310-221-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "NGAMFON",
        "authorized_official_first_name": "NKWAIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "424-215-1580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Thomas
• Eric C Thomas
• Kaitlyn Elizabeth Thomas
• Thrifty Payless Inc (Rite Aid Pharmacy 05516)
• Yvette Diane Thrush
• Karla Trahan
• Duc Tran, ACCUPUNCTURIST
• Ngoc-Chau Nguyen Casey Tran, RPH
• Transcultual Health Development (Coastal Recovery Center)
• Transcultural Health Development, Inc (Coastal Recovery Center)

• Community Health Clinic/Center in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.