Organization Active NPI

Optima Industrial Medical

  • Intermediate Emergency Medical Technician
  • Carson, CA
National Provider Identifier
1902127079
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
G57531 Issued in CA
Legal business name
OPTIMA INDUSTRIAL MEDICAL
Practice address
20401 South Avalon Blvd
Suite C
Carson, CA 90746
Phone
(310) 632-5795
Fax
(310) 632-5842
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Brian Kent Low, M.D.NPI 1174654586
Title
Medical Director
Phone
(310) 632-5795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 146M00000X G57531 CA Primary

Addresses

Primary practice location

20401 South Avalon Blvd
Suite C
Carson, CA 90746

Mailing address

20401 South Avalon Blvd
Suite C
Carson, CA 90746
Phone (310) 632-5795

National Provider Directory

National Provider Directory

Locations

20401 Avalon Blvd
Ste C
Carson, CA 90746
Phone (310) 632-5795

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1902127079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 SOUTH AVALON BLVD",
            "address_2": "SUITE C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746",
            "telephone_number": "310-632-5795",
            "fax_number": "310-632-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 SOUTH AVALON BLVD",
            "address_2": "SUITE C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746",
            "telephone_number": "310-632-5795",
            "fax_number": "310-632-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA INDUSTRIAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-632-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "CA",
            "license": "G57531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.