EL MONTE FAMILY MEDICAL GROUP (NPI# 1073680757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073680757 |
| Entity Type | Organization |
| Organization Name | EL MONTE FAMILY MEDICAL GROUP |
| Practice Address |
11227 Valley Blvd El Monte CA 91731 |
| Practice Telephone | 6264427077 |
| Practice Fax Number | 6264422640 |
| Mailing Telephone | 6264427077 |
| Mailing Fax Number | 6264422640 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | WAEL DAGHER (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 6264427077 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1073680757 | 05 |
| Street Address |
11227 VALLEY BLVD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417031998 | Bernard Simon Jorge | Family Medicine | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2006-10-24 |
| 1487273959 | Elise Martinez Esparza | Counselor | 11227 Valley Blvd, El Monte, CA 91731-3299 | 2020-04-14 |
| 1467007195 | Eleanor Peters | Counselor | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2019-08-08 |
| 1790343960 | Dwayne Perry Persley | Counselor | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2019-06-03 |
| 1811554579 | Shannon Renee Schumaker | Counselor | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2019-05-28 |
| 1396281408 | Rozan Faouri | Counselor | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2017-01-12 |
| 1891938510 | Doris La Verne Thomas | Counselor | 11227 Valley Blvd, El Monte, CA 91731-3299 | 2009-04-10 |
| 1053538025 | Susana Edelina Arroyo | Chiropractor | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710427596 | Salud Integral Medical Clinic,inc | General Practice | 11605 Valley Blvd, Suite 201, El Monte, CA 91732-3069 | 2017-02-28 |
| 1740319540 | Jiing Tsong Wang | General Practice | 11511 Garvey Ave, El Monte, CA 91732-3305 | 2007-03-05 |
| 1053332809 | Emil Levin Md Inc | General Practice | 3131 Santa Anita Ave Ste 107, El Monte, CA 91733-1369 | 2006-07-21 |
| 1801079728 | South Atlantic Medical Group | General Practice | 11518 Garvey Ave, El Monte, CA 91732-3306 | 2007-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.