Organization Active NPI

Cesca Medical Group Inc

  • Family Nurse Practitioner
  • Lawndale, CA
National Provider Identifier
1962011734
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CESCA MEDICAL GROUP INC
Practice address
15424 Hawthorne Blvd Ste 302
Lawndale, CA 90260-2175
Phone
(424) 310-2707
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Mrs. Francesca Chinwe MephorsNPI 1497202337
Title
C.E.O
Phone
(424) 200-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

15424 Hawthorne Blvd Ste 302
Lawndale, CA 90260-2175

Mailing address

15424 Hawthorne Blvd Ste 302
Lawndale, CA 90260-2175
Phone (424) 310-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706001086 CA Part B Supplier - Clinic/Group Practice 5193127728 Receives reassigned benefits from 3 practitioners
Practice locations: Lawndale, CA

National Provider Directory

National Provider Directory

Locations

15424 Hawthorne Blvd
Ste 302
Lawndale, CA 90260
Phone (424) 310-2707

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1962011734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15424 HAWTHORNE BLVD STE 302",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602175",
            "telephone_number": "424-310-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15424 HAWTHORNE BLVD STE 302",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602175",
            "telephone_number": "424-310-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESCA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "MEPHORS",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_middle_name": "CHINWE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "424-200-3333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.