NPIMap

Organization Active NPI

Southern California Medical Center

  • Clinic/Center
  • El Monte, CA
National Provider Identifier
1902202195
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
95000890 Issued in CA
Legal business name
SOUTHERN CALIFORNIA MEDICAL CENTER
Practice address
12100 Valley Blvd Ste 109a
El Monte, CA 91732-3161
Phone
(626) 575-7500
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Mohammad Rosekhi, M.D.
Title
Cheif Medical Officer
Phone
(626) 575-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 95000890 CA Primary

Addresses

Primary practice location

12100 Valley Blvd Ste 109a
El Monte, CA 91732-3161

Mailing address

12100 Valley Blvd Ste 109a
El Monte, CA 91732-3161
Phone (626) 575-7500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1902202195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 VALLEY BLVD STE 109A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323161",
            "telephone_number": "626-575-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 VALLEY BLVD STE 109A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323161",
            "telephone_number": "626-575-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSEKHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CHEIF MEDICAL OFFICER",
        "authorized_official_telephone_number": "626-575-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "95000890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.