NPIMap

Organization Active NPI

Latinocare Partners Medical Group

  • General Practice Physician
  • Montebello, CA
National Provider Identifier
1942586136
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LATINOCARE PARTNERS MEDICAL GROUP
Practice address
1336 W Whittier Blvd
Suite B
Montebello, CA 90640-4601
Phone
(323) 455-3995
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Kanan Modi, M.D.
Title
President
Phone
(323) 455-3675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1336 W Whittier Blvd
Suite B
Montebello, CA 90640-4601

Mailing address

4741 E Cesar E Chavez Ave
Suite B
Los Angeles, CA 90022-1209
Phone (323) 455-3675

National Provider Directory

National Provider Directory

Locations

4741 E Cesar E Chavez Ave
Ste B
Los Angeles, CA 90022

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1942586136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-455-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W WHITTIER BLVD",
            "address_2": "SUITE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404601",
            "telephone_number": "323-455-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINOCARE PARTNERS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "KANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-455-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.