Goodfaith Family Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A49571 Issued in CA

Legal business name

GOODFAITH FAMILY MEDICAL GROUP

Practice address

7770 Garvey Ave
Rosemead, CA 91770-3061

Phone

(626) 307-4785

Fax

(626) 307-1019

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Jimmy Wu, M.D.

Title

President

Phone

(626) 307-4785

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tan Lin Wong, MD

  • Internal Medicine Physician
  • La Verne, CA
  • NPI 1790728749
  Medicare reassignment NPD
• Josephine Wu Choa, M.D.

  • Internal Medicine Physician
  • Rosemead, CA
  • NPI 1356384408
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1952323800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 GARVEY AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703061",
            "telephone_number": "626-307-4785",
            "fax_number": "626-307-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 GARVEY AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703061",
            "telephone_number": "626-307-4785",
            "fax_number": "626-307-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODFAITH FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-307-4785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A49571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudeth Gonzalez Rodriguez
• Jose Marvin Gonzalez Sanchez
• Stephanie M Gonzalez
• Christopher Gooch, DPT
• Goodfaith Family Medical Clinic
• Green Acres Lodge LLC
• Green Cross Medical Surgical Inc
• Greenlife Wellness
• Tracy Greer, LVN
• Shannon Griffin

• Primary Care Clinic/Center in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.