Mind Care Medical Group, Inc.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

20A8470 Issued in CA

Legal business name

MIND CARE MEDICAL GROUP, INC.

Practice address

1907 Boys Republic Dr
Chino Hills, CA 91709-5447

Phone

(909) 628-1217

Fax

(909) 627-4129

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Guadalupe Marquez, D.O.NPI 1902989528

Title

Ceo

Phone

(562) 833-0496

Specialties & licenses 2

Addresses

Other names 1

• M&M Psychiatry Former legal business name

Locations

Practitioners 1

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

• Joseph Guadalupe Marquez, D.O.

  • Child & Adolescent Psychiatry Physician
  • Downey, CA
  • NPI 1902989528
  NPD (past) Authorized official

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1962755900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 BASKERVILLE RD",
            "city": "ROSSMOOR",
            "state": "CA",
            "postal_code": "907202927",
            "telephone_number": "562-430-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BOYS REPUBLIC DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095447",
            "telephone_number": "909-628-1217",
            "fax_number": "909-627-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-833-0496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A8470",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A8470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M&M Psychiatry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Negin Nelly Milani
• Randy Dean Miller, CERT. PERFUSIONIST
• Tonya Miller, RDMS
• Defei Min
• Parul Minaudo, RN BSN
• Jose F.S. Miranda, D.M.D.
• Richard James Mitchell III
• Naheed Momand, D.O.
• Daryl C Moniaga, OD
• Reese Ann Montgomery

• Child & Adolescent Psychiatry Physician in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.