Organization Active NPI

Sapphire Healthcare Medical Group Inc

  • Internal Medicine Physician
  • Norwalk, CA
National Provider Identifier
1992576672
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAPPHIRE HEALTHCARE MEDICAL GROUP INC
Doing business as
Med Life Urgent Care
Practice address
11689 The PLZ
Norwalk, CA 90650-3930
Phone
(562) 219-4903
Fax
(562) 219-4904
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Abdul Khan, MD
Title
President
Phone
(562) 219-4903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

11689 The PLZ
Norwalk, CA 90650-3930

Mailing address

11689 The PLZ
Norwalk, CA 90650-3930
Phone (562) 219-4903

Other names 1

  • Med Life Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

11689 The Plz
Norwalk, CA 90650
Phone (562) 219-4903

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1992576672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11689 THE PLZ",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503930",
            "telephone_number": "562-219-4903",
            "fax_number": "562-219-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11689 THE PLZ",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503930",
            "telephone_number": "562-219-4903",
            "fax_number": "562-219-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE HEALTHCARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-219-4903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Life Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.