Organization Active NPI

Norwalk Maternity and Family Medical Center Inc.

  • Adult Medicine Physician
  • Norwalk, CA
National Provider Identifier
1942328182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
101630 Issued in CA
Legal business name
NORWALK MATERNITY AND FAMILY MEDICAL CENTER INC.
Practice address
11741 The PLZ
Norwalk, CA 90650-3932
Phone
(562) 406-8634
Fax
(562) 406-8635
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ignatius Godoy, M.D.
Title
President
Phone
(562) 406-8634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 101630 CA Primary

Addresses

Primary practice location

11741 The PLZ
Norwalk, CA 90650-3932

Mailing address

11741 The PLZ
Norwalk, CA 90650-3932
Phone (562) 406-8634

Other identifiers 1

IdentifierTypeStateIssuer
GR0078000MedicaidCA

National Provider Directory

National Provider Directory

Locations

11741 The PLZ
Norwalk, CA 90650
Phone (562) 406-8634

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942328182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 THE PLZ",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503932",
            "telephone_number": "562-406-8634",
            "fax_number": "562-406-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 THE PLZ",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503932",
            "telephone_number": "562-406-8634",
            "fax_number": "562-406-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK MATERNITY AND FAMILY MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODOY",
        "authorized_official_first_name": "IGNATIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-406-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "101630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.