Employee Health Systems Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EMPLOYEE HEALTH SYSTEMS MEDICAL GROUP

Practice address

1200 Corporate Center Dr
Suite 200
Monterey Park, CA 91754-7678

Phone

(213) 406-2600

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dan L. Gomez

Title

Regional Vice President

Phone

(909) 291-1987

Specialties & licenses 1

Addresses

Tax ID family

Employee Health Systems Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Employee Health Systems Medical Group Dba Inland Valleys Ipa

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1235349523
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Employee Health Systems Medical Group Dba Inland Valleys Ipa

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1235349523
  NPPES parent name

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1891905170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CORPORATE CENTER DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547626",
            "telephone_number": "213-406-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE CENTER DR",
            "address_2": "SUITE 200",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547678",
            "telephone_number": "213-406-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYEE HEALTH SYSTEMS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "909-291-1987"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, 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 Feb 28, 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.