Pacific Bay Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5319 Issued in CA

Legal business name

PACIFIC BAY MEDICAL GROUP

Practice address

1403 Lomita Blvd
Suite 304
Harbor City, CA 90710-2076

Phone

(310) 517-1828

Fax

(310) 517-0362

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Ulyss Chow, D.O.

Title

Owner

Phone

(310) 517-1828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881783462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "SUITE 304",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102076",
            "telephone_number": "310-517-1828",
            "fax_number": "310-517-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "SUITE 304",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102076",
            "telephone_number": "310-517-1828",
            "fax_number": "310-517-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BAY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "ULYSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-517-1828",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Osaki, LCSW
• Christopher John Osborn
• Cynthia Osmanian, MD
• Maria Wen-Yu Liao Otera, MD
• Timo T Ou
• Anelly Page
• Siu M Pan, PHARM.D
• Juan Carlos Panameno
• Rashmin M. Panchal, MD
• Christopher John Pardo, MD

• Family Medicine Physician in Harbor City, CA
• Providers in Harbor City, 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 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.