NPIMap

Organization Active NPI

Southbay Family Medical Clinic

  • General Acute Care Hospital
  • Carson, CA
National Provider Identifier
1821375965
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
19910 Issued in CA
Legal business name
SOUTHBAY FAMILY MEDICAL CLINIC
Practice address
23517 Main St
Suite # 103
Carson, CA 90745-5251
Phone
(310) 834-5388
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Shrikant Tamhane, M.D.
Title
Director
Phone
(310) 834-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 19910 CA Primary

Addresses

Primary practice location

23517 Main St
Suite # 103
Carson, CA 90745-5251

Mailing address

23517 S Main St.
Suite # 103
Carson, CA 90745

Other names 1

  • Southbay Family medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shrikant Tamhane DO2 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.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1821375965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23517 S MAIN ST.",
            "address_2": "SUITE # 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST",
            "address_2": "SUITE # 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455251",
            "telephone_number": "310-834-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "TAMHANE",
        "authorized_official_first_name": "SHRIKANT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-834-5388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "19910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southbay Family medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.