Clinica Medica de la Caridad Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

W22184 Issued in CA

Legal business name

CLINICA MEDICA DE LA CARIDAD MEDICAL GROUP INC

Practice address

4347 E. Slauson Ave
Maywood, CA 90270-2837

Phone

(323) 773-7137

Fax

(323) 773-2093

NPI assigned

Dec 28, 2007

Last updated

Apr 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosalie Alcantara, NPNPI 1518186949

Title

Office Manager

Phone

(323) 773-3137

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Rosalie Alcantara, NP

  • Nurse Practitioner
  • Maywood, CA
  • NPI 1518186949
  NPD Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1902080708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 E. SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702837",
            "telephone_number": "323-773-7137",
            "fax_number": "323-773-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 E. SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702837",
            "telephone_number": "323-773-7137",
            "fax_number": "323-773-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA DE LA CARIDAD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-773-3137",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "W22184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A453844",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Buscho, NP
• Ruben Sangalang Casabar, M.D.
• David Castro
• Julie Cervantes, RN
• Karla Alehandra Chen, FNP
• Clinica Medica la Esperanza
• Blanca Cruz, FNP
• David Speiser, M.D. - a Professional Medical Corp
• Dean Ferdows MD Inc
• M. Rachel Dubria, P.A.

• Family Medicine Physician in Maywood, CA
• Providers in Maywood, 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 Apr 3, 2015; 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.