Organization Active NPI

Vernon Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1952707689
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34954 Issued in CA
Legal business name
VERNON MEDICAL GROUP INC
Practice address
231 W Vernon Ave Ste 112
Los Angeles, CA 90037-2778
Phone
(323) 234-1468
Fax
(323) 234-1383
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Miss Christine M Groves
Title
Billing Dept Manager
Phone
(323) 234-1468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G34954 CA Primary

Addresses

Primary practice location

231 W Vernon Ave Ste 112
Los Angeles, CA 90037-2778

Mailing address

231 W Vernon Ave Ste 112
Los Angeles, CA 90037-2778
Phone (323) 234-1468

Other names 1

  • VERNON URGENT CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

231 W Vernon Ave
Ste 112
Los Angeles, CA 90037
Phone (310) 542-1501

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1952707689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372778",
            "telephone_number": "323-234-1468",
            "fax_number": "323-234-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372778",
            "telephone_number": "323-234-1468",
            "fax_number": "323-234-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING DEPT MANAGER",
        "authorized_official_telephone_number": "323-234-1468",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERNON URGENT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.