NPIMap

Organization Active NPI

Pacific Independent Physician Association, a Medical Group, Inc.

  • Exclusive Provider Organization
  • El Monte, CA
National Provider Identifier
1831245281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PACIFIC INDEPENDENT PHYSICIAN ASSOCIATION, A MEDICAL GROUP, INC.
Practice address
9700 Flair Dr
El Monte, CA 91731-2205
Phone
(626) 652-3500
Fax
(626) 401-1900
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peder Lindblom
Title
Executive Director
Phone
(626) 652-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

9700 Flair Dr
El Monte, CA 91731-2205

Mailing address

9700 Flair Dr
El Monte, CA 91731-2205
Phone (626) 652-3500

Other names 1

  • Pacific IPA Other name

National Provider Directory

National Provider Directory

Locations

9700 Flair Dr
El Monte, CA 91731
Phone (626) 652-3500

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831245281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 FLAIR DR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312205",
            "telephone_number": "626-652-3500",
            "fax_number": "626-401-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 FLAIR DR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312205",
            "telephone_number": "626-652-3500",
            "fax_number": "626-401-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC INDEPENDENT PHYSICIAN ASSOCIATION, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDBLOM",
        "authorized_official_first_name": "PEDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-652-3500"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific IPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.