NPIMap

Organization Active NPI

Takoma Family Health Center, LLC

  • Internal Medicine Physician
  • Takoma Park, MD
National Provider Identifier
1912175613
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0033588 Issued in MD
Legal business name
TAKOMA FAMILY HEALTH CENTER, LLC
Practice address
7676 New Hampshire Ave
#418
Takoma Park, MD 20912
Phone
(301) 431-0160
Fax
(301) 431-0163
NPI assigned
Feb 15, 2008
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mrs. Silvia Trujillo, MEDICAL OFFICE SPEC
Title
Ceo
Phone
(301) 431-0160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D0033588 MD Primary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X D0030235 MD

Addresses

Primary practice location

7676 New Hampshire Ave
#418
Takoma Park, MD 20912

Mailing address

7676 New Hampshire Ave
#418
Takoma Park, MD 20912
Phone (301) 431-0160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1912175613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "address_2": "#418",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-431-0160",
            "fax_number": "301-431-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE",
            "address_2": "#418",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-431-0160",
            "fax_number": "301-431-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA FAMILY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-431-0160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEDICAL OFFICE SPEC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0033588",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MD",
            "license": "D0030235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.