Los Medanos Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G30873 Issued in CA

Legal business name

LOS MEDANOS MEDICAL GROUP, INC.

Practice address

3006 Railroad Ave
Pittsburg, CA 94565-5202

Phone

(925) 432-2977

Fax

(925) 432-6418

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Michael Russell, M.D.

Title

President

Phone

(925) 432-2977

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Neelam Sachdev, MD

  • Psychiatry Physician
  • Napa, CA
  • NPI 1831142579
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992867576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 RAILROAD AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655202",
            "telephone_number": "925-432-2977",
            "fax_number": "925-432-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 RAILROAD AVE",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655202",
            "telephone_number": "925-432-2977",
            "fax_number": "925-432-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS MEDANOS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-432-2977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G30873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71706Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Loftin, MFT
• Flor Lopez Martinez
• Analia Lopez, LCSW
• Jasmine Lopez
• Julissa Yaneth Lopez, MD
• Love Frequency Counseling LLC
• Peter Anthony Lucido Jr.
• Gianna Cristina Ligouri Lum
• Lynn Center - Next Steps
• Charmaine Macadangdang

• Internal Medicine Physician in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Internal Medicine Physician in California

• 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.