Firstsoto Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GR0054550 Issued in CA

Legal business name

FIRSTSOTO MEDICAL GROUP

Practice address

2680 E Florence Ave
Huntington Park, CA 90255-4708

Phone

(323) 588-4004

Fax

(323) 588-5241

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Constant Chan, M.D.

Title

President

Phone

(323) 588-4004

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1902901762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554708",
            "telephone_number": "323-588-4004",
            "fax_number": "323-588-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554708",
            "telephone_number": "323-588-4004",
            "fax_number": "323-588-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOTO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CONSTANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-588-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "GR0054550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401740",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A371250",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0054550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fidel Santa-Cruz M D a Professional Corporation
• Burnice Figueroa Flores, 106H00000X
• Maylin Figueroa
• Alisha Brianne Finch
• First Choice Physician Partners
• Five Angels Corp
• Luis Fernando Flores Rivera, DDS
• Sandra Nelly Flores Ugarte
• Alfredo Flores
• April M Flores

• Family Medicine Physician in Huntington Park, CA
• Providers in Huntington 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 May 27, 2008; 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.