Mayflower Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A51499 Issued in CA

Legal business name

MAYFLOWER MEDICAL GROUP, INC.

Practice address

1433 N Hollenbeck Ave Ste 104
Covina, CA 91722-1558

Phone

(626) 241-2560

Fax

(626) 214-2561

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Eleonor Ramirez

Title

Office Manager

Phone

(626) 331-2209

Specialties & licenses 1

Addresses

Tax ID family

Mayflower Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mayflower Medical Group, Inc.

  • Cardiovascular Disease Physician
  • West Covina, CA
  • NPI 1235232620
  NPD tax ID
• Mayflower Medical Group, Inc.

  • Family Medicine Physician
  • El Monte, CA
  • NPI 1598232324
  NPD tax ID
• Mayflower Medical Group, Inc.

  • Pediatrics Physician
  • Rialto, CA
  • NPI 1770050353
  NPD tax ID

Locations

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1851872014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-214-2560",
            "fax_number": "626-214-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-241-2560",
            "fax_number": "626-214-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ELEONOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-331-2209"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Ahmed Aly Mawaheb, M.D.
• Steven Paul Maxam
• Lauren Camille May
• Portia May
• Barbara Mayberry
• Mayflower Medical Group, Inc.
• Emilio Isaias Mazon
• Daniel Mazur
• Kelechi Adanna Mbaruguru
• Alisa Faye McAleer, MS, RD, CDCES

• Pediatrics Physician in Covina, CA
• Providers in Covina, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.