Citizens Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CITIZENS MEDICAL GROUP

Practice address

1300 N la Brea Ave
Los Angeles, CA 90028

Phone

(323) 464-1336

Fax

(323) 464-2163

NPI assigned

Oct 16, 2006

Organization subpart

Yes

Parent organization

CITIZENS MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Ms. Jan Sharp

Title

Administrator

Phone

(323) 464-1336

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Citizens Medical Group

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Citizens Medical Group

  • Internal Medicine Physician
  • West Los Angeles, CA
  • NPI 1851565337
  NPPES parent name

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1831279884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-464-1336",
            "fax_number": "323-464-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-464-1336",
            "fax_number": "323-464-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIZENS MEDICAL GROUP",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-464-1336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ815802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Cital
• Citi Scope Medical Staffing Agency LLC
• Citihealth Services Inc
• Rusaun Citizen
• Russell Citizen
• Citizens of the World Charter Schools - Los Angeles
• City Care Clinic
• City Care Pharmacy, Inc.
• City Help, Inc
• City Medical Center Inc.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.