Good Shephard Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GOOD SHEPHARD MEDICAL CLINIC

Practice address

661 W 1RST Streeet # G
Tustin, CA 92780

Phone

(714) 665-9890

Fax

(714) 665-9891

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

BANJ HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Marie Nerlande Lamothe

Title

Executive Director

Phone

(310) 635-7123

Specialties & licenses 3

Addresses

Part of

Compton Central Health

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.

• Banj Health Center, Inc.

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1518036565
  NPPES parent name

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1851735351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CENTRAL AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902201425",
            "telephone_number": "310-635-7123",
            "fax_number": "310-635-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W 1RST STREEET # G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-665-9890",
            "fax_number": "714-665-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHARD MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANJ HEALTH CENTER, INC.",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "LAMOTHE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NERLANDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-635-7123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "960001116",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Gonzalez
• Julie Mary Gonzalez, B.A.
• Lissette Rubio Gonzalez
• Lizette Gonzalez
• Nancy Gonzalez
• Good Shepherd Counseling Clinic
• Good Shepherd Medical Clinic, Inc
• Marappa V Gopinath, MD
• Lowell Andrew Gordon, M.D.
• Gordon's Fairview Pharmacy

• Clinic/Center in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.