Organization Active NPI

Thomas J Cachur Jr D O a Professional Medical Corporation

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1992994628
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A9086 Issued in CA
Legal business name
THOMAS J CACHUR JR D O A PROFESSIONAL MEDICAL CORPORATION
Practice address
1414 S Grand Ave Ste 382
Los Angeles, CA 90015-3072
Phone
(213) 747-7307
Fax
(213) 747-7093
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Thomas J Cachur Jr.
Title
Owner
Phone
(213) 747-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 20A9086 CA Primary

Addresses

Primary practice location

1414 S Grand Ave Ste 382
Los Angeles, CA 90015-3072

Mailing address

1414 S Grand Ave Ste 382
Los Angeles, CA 90015-3072
Phone (213) 747-7307

Other identifiers 1

IdentifierTypeStateIssuer
20A9086MedicaidCA

National Provider Directory

National Provider Directory

Locations

1800 Wilshire Blvd
Los Angeles, CA 90057
Phone (213) 478-0460

1414 S Grand Ave
Ste 382
Los Angeles, CA 90015
Phone (213) 747-7307

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1992994628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 382",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153072",
            "telephone_number": "213-747-7307",
            "fax_number": "213-747-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 382",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153072",
            "telephone_number": "213-747-7307",
            "fax_number": "213-747-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CACHUR JR D O A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "CACHUR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-747-7307",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20A9086",
            "state": "CA"
        }
    ],
    "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 12, 2008; 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.