NPIMap

Organization Active NPI

Axminster Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1801897368
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AXMINSTER MEDICAL GROUP
Practice address
8540 S Sepulveda Blvd
Suite 818
Los Angeles, CA 90045-3807
Phone
(310) 670-3255
Fax
(310) 338-1276
NPI assigned
Aug 9, 2005
Last updated
Jul 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Elizabeth Sander, MDNPI 1841291234
Title
President
Phone
(310) 792-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

8540 S Sepulveda Blvd
Suite 818
Los Angeles, CA 90045-3807

Mailing address

8540 S. Sepulveda Blvd.
Suite 818-a
Los Angeles, CA 90045
Phone (310) 348-3700

Other identifiers 2

IdentifierTypeStateIssuer
GR0084742MedicaidCA
ZZZ34959ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

11539 Hawthorne Blvd
Fl 6
Hawthorne, CA 90250
Phone (310) 675-5370

4314 W Slauson Ave
Los Angeles, CA 90043
Phone (323) 293-7171

505 W Century Blvd
Los Angeles, CA 90044
Phone (213) 754-4090

8540 S Sepulveda Blvd
Ste 818
Westchester, CA 90045
Phone (310) 670-3255

8540 S Sepulveda Blvd
Ste 818A
Westchester, CA 90045
Phone (310) 675-5370

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1801897368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S. SEPULVEDA BLVD.",
            "address_2": "SUITE 818-A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-348-3700",
            "fax_number": "310-531-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 818",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-670-3255",
            "fax_number": "310-338-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXMINSTER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084742",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ34959Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.