Organization Active NPI

CBG Medical Group LLC

  • General Practice Physician
  • Palmdale, CA
National Provider Identifier
1821939430
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CBG MEDICAL GROUP LLC
Practice address
2613 Lincoln LN
Palmdale, CA 93551-5813
Phone
(442) 453-4974
Fax
(747) 234-2010
NPI assigned
Apr 6, 2026
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Nicholas Clay Williams
Title
Managing Member
Phone
(442) 453-4974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2613 Lincoln LN
Palmdale, CA 93551-5813

Mailing address

2613 Lincoln LN
Palmdale, CA 93551-5813
Phone (442) 453-4974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1821939430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 LINCOLN LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515813",
            "telephone_number": "442-453-4974",
            "fax_number": "747-234-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 LINCOLN LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515813",
            "telephone_number": "442-453-4974",
            "fax_number": "747-234-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBG MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "442-453-4974"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.