Independent Physicians Office Management, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G53710 Issued in CA

Legal business name

INDEPENDENT PHYSICIANS OFFICE MANAGEMENT, INC.

Practice address

9045 Bruceville Rd
Suite 190
Elk Grove, CA 95758-5948

Phone

(916) 683-6163

Fax

(916) 683-6177

NPI assigned

Sep 28, 2016

Organization subpart

No

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

Authorized official

Name

Jo Lynne Taylor, MD

Title

Owner

Phone

(916) 683-6163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1952850133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD",
            "address_2": "SUITE 190",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585948",
            "telephone_number": "916-683-6163",
            "fax_number": "916-683-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD",
            "address_2": "SUITE 190",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585948",
            "telephone_number": "916-683-6163",
            "fax_number": "916-683-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICIANS OFFICE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-683-6163",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G53710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.