Active NPI
Multi Health Care Medical Group Inc.
- Family Medicine Physician
- South Gate, CA
National Provider Identifier
1861418576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A55940
- Legal business name
- MULTI HEALTH CARE MEDICAL GROUP INC.
- Practice address
- 3175 Firestone Blvd
South Gate, CA 90280-2951 - Phone
- (323) 567-8910
- Fax
- (323) 567-8953
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn A Marshak, M.D.
- Title
- President
- Phone
- (323) 567-8910
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A55940 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G78454 | CA | |
| Gastroenterology Physician | 207RG0100X | A48912 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A39722 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A 35877 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | G 23113 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT 11601 | CA | |
| Urology Physician | 208800000X | A 76527 | CA | |
| Podiatrist | 213E00000X | E 2963 | CA | |
| Physician Assistant | 363A00000X | PA 17142 | CA | |
| Physician Assistant | 363A00000X | PA16740 | CA |
Addresses
Primary practice location
3175 Firestone Blvd
South Gate, CA 90280-2951
Mailing address
3175 Firestone Blvd
South Gate, CA 90280-2951
Phone (323) 567-8910
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2963A | Medicaid | CA | |
| 00A765270 | Medicaid | CA | |
| C34404 | Medicaid | CA | |
| GR0092400 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
3175 Firestone Blvd
South Gate, CA 90280
Phone (323) 567-8910
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- South Gate, CA
- NPI 1437363462
-
- Gastroenterology Physician
- Anaheim, CA
- NPI 1912989773
-
- Surgery Physician
- Lakewood, CA
- NPI 1720011356
-
- Family Health Clinical Nurse Specialist
- South Gate, CA
- NPI 1851835045
-
- Medical Physician Assistant
- Montclair, CA
- NPI 1043371636
-
- Urology Physician
- Lakewood, CA
- NPI 1326017831
-
- Medical Physician Assistant
- Lomita, CA
- NPI 1801069984
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1316065683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1861418576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 FIRESTONE BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802951",
"telephone_number": "323-567-8910",
"fax_number": "323-567-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 FIRESTONE BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802951",
"telephone_number": "323-567-8910",
"fax_number": "323-567-8953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTI HEALTH CARE MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "MARSHAK",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-567-8910",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A55940",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G78454",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A48912",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A39722",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A 35877",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G 23113",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT 11601",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A 76527",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E 2963",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 17142",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16740",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E2963A",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A765270",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C34404",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0092400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.