Prime Family Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A23122 Issued in CA

Legal business name

PRIME FAMILY CLINIC INC

Practice address

1110 S Glendale Ave
E
Glendale, CA 91205-5617

Phone

(818) 945-5502

Fax

(818) 945-5595

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Omar E Espinosa, M.D.

Title

President/Ceo

Phone

(818) 945-5502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1942682596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S GLENDALE AVE",
            "address_2": "E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055617",
            "telephone_number": "818-945-5502",
            "fax_number": "818-945-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S GLENDALE AVE",
            "address_2": "E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055617",
            "telephone_number": "818-945-5502",
            "fax_number": "818-945-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-945-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A23122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primal Care Hospice, Inc.
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• Prime Behavioral Solutions Inc
• Prime Care Home Health Agency, Inc.
• Prime Care Hospice Inc
• Prime Foot Care
• Prime Home Health Inc
• Prime Imaging Inc
• Prime Medical Management
• Prime Medical Supplies Inc.

• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.