Organization Active NPI

Rex Medical Group Inc

  • Family Medicine Physician
  • Duarte, CA
National Provider Identifier
1962704270
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A111544 Issued in CA
Legal business name
REX MEDICAL GROUP INC
Practice address
1161 Huntington Dr
Duarte, CA 91010-2400
Phone
(626) 359-6727
Fax
(626) 359-6722
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Noaman Hanif, MDNPI 1326368572
Title
Owner
Phone
(626) 359-6727

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A111544 CA Primary

Addresses

Primary practice location

1161 Huntington Dr
Duarte, CA 91010-2400

Mailing address

1161 Huntington Dr
Duarte, CA 91010-2400
Phone (626) 359-6727

Other names 1

  • Rex Medical Care Duarte Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110627000605 CA Part B Supplier - Clinic/Group Practice 6204014020 Receives reassigned benefits from 1 practitioner
Practice locations: Duarte, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2031408Rex Medical Group, Inc1161 Huntington Dr, Duarte, CA 91010Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory

Locations

1161 Huntington Dr
Duarte, CA 91010
Phone (424) 314-3842

Practitioners & affiliated clinicians

Practitioners 1

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": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1962704270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102400",
            "telephone_number": "626-359-6727",
            "fax_number": "626-359-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102400",
            "telephone_number": "626-359-6727",
            "fax_number": "626-359-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "HANIF",
        "authorized_official_first_name": "NOAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-359-6727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A111544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rex Medical Care Duarte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.