Organization Active NPI

Maxicare Medical Center, Inc.

  • Clinic/Center
  • City of Industry, CA
National Provider Identifier
1992720130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20A8164 Issued in CA
Legal business name
MAXICARE MEDICAL CENTER, INC.
Practice address
16000 Amar Rd
City of Industry, CA 91744-2203
Phone
(626) 968-8445
Fax
(626) 330-5599
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Muhammad Hassan Sizar, D.O.
Title
President/Physician
Phone
(626) 968-8445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20A8164 CA Primary

Addresses

Primary practice location

16000 Amar Rd
City of Industry, CA 91744-2203

Mailing address

16000 Amar Road
Industry, CA 91744
Phone (626) 968-8445

Other identifiers 1

IdentifierTypeStateIssuer
20A8164OtherCACALIFORNIA LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992720130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 AMAR ROAD",
            "city": "INDUSTRY",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-968-8445",
            "fax_number": "626-330-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 AMAR RD",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917442203",
            "telephone_number": "626-968-8445",
            "fax_number": "626-330-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIZAR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "626-968-8445",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A8164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "20A8164",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.