Organization Active NPI

Samaritan Medical & Rehabiliation Center

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1982978557
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A40185 Issued in CA
Legal business name
SAMARITAN MEDICAL & REHABILIATION CENTER
Practice address
506 S Alvarado St
Los Angeles, CA 90057-2904
Phone
(213) 484-2570
Fax
(213) 484-4158
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Lorenzo Tizon, MD
Title
Director
Phone
(213) 484-2570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A40185 CA Primary

Addresses

Primary practice location

506 S Alvarado St
Los Angeles, CA 90057-2904

Mailing address

506 S Alvarado St
Los Angeles, CA 90057-2904
Phone (213) 484-2570

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1982978557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572904",
            "telephone_number": "213-484-2570",
            "fax_number": "213-484-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572904",
            "telephone_number": "213-484-2570",
            "fax_number": "213-484-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN MEDICAL & REHABILIATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "TIZON",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-484-2570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 29, 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.