Concierge Clinicians Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CONCIERGE CLINICIANS INC

Practice address

13330 Bloomfield Ave Ste 209
Norwalk, CA 90650-3251

Phone

(562) 513-2595

Fax

(877) 280-0040

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Deeva M Hall

Title

Office Administrator

Phone

(951) 547-1670

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22283/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roggielyz Yosores Padilla, NP-C

  • Nurse Practitioner
  • Torrance, CA
  • NPI 1124566724
  Medicare reassignment
• Jack Azad, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1841489440
  NPD
• Sharon Jamie, MD

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1427216712
  NPD (past)
• Dennis Montejo, FNP-C

  • Family Nurse Practitioner
  • Norwalk, CA
  • NPI 1932582558
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1891308359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE STE 209",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503251",
            "telephone_number": "562-513-2595",
            "fax_number": "877-280-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE STE 209",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503251",
            "telephone_number": "562-513-2595",
            "fax_number": "877-280-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CLINICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DEEVA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "951-547-1670"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Inglewood",
            "affiliation": "N",
            "address_1": "645 Aerick St Ste 1",
            "city": "Inglewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "903014882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Adolfo Coloma, LPT
• Arden Colonna, PH.D.
• Compassionate ABA LLC
• Complete Care Podiatry Group
• Compre-Care Medical, Inc.
• Concierge Specialist Medical Group Inc PC
• Concesa Diwa Cono
• Aliya Jade Conrad
• Consumerhealth, Inc.
• Consumerhealth, Inc.

• Family Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.