Active NPI
Internal Medicine MDS Corp
- Internal Medicine Physician
- Montebello, CA
National Provider Identifier
1811338270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A102426
- Legal business name
- INTERNAL MEDICINE MDS CORP
- Practice address
- 3114 W Beverly Blvd
Montebello, CA 90640-2217 - Phone
- (323) 726-3868
- Fax
- (323) 726-3870
- NPI assigned
- Jul 15, 2013
- Last updated
- Jul 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nazrul Islam, MD
- Title
- Physician
- Phone
- (323) 726-3868
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A102426 | CA | Primary |
Addresses
Primary practice location
3114 W Beverly Blvd
Montebello, CA 90640-2217
Mailing address
3114 W Beverly Blvd
Montebello, CA 90640-2217
Phone (323) 726-3868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3114 W Beverly Blvd
Montebello, CA 90640
Phone (323) 726-1317
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Montebello, CA
- NPI 1760422067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373846400000",
"number": "1811338270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402217",
"telephone_number": "323-726-3868",
"fax_number": "323-726-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906402217",
"telephone_number": "323-726-3868",
"fax_number": "323-726-3870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE MDS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A",
"authorized_official_last_name": "ISLAM",
"authorized_official_first_name": "NAZRUL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "323-726-3868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A102426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
- Hailey H Hwangbo, NP
- Hyderali M Mukadam MD (Delta Medical Group of Montebello)
- Liliane Idylle, D.O.
- Iftikhar a. Khan M.D., Inc.
- Dale David Inouye, D.D.S.
- Ira E Felman MD (San Gabriel Valley Oncology Center)
- Aisha Ishtiaq, LMFT
- Ismat El-Souki Chiropractic Inc.
- Estibaliz M Iturralde
- Eleana Maria Izquierdo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.