MAYFLOWER MEDICAL GROUP, INC. (NPI# 1235232620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235232620 |
| Entity Type | Organization |
| Organization Name | MAYFLOWER MEDICAL GROUP, INC. |
| Practice Address |
1433 W Merced Ave #216 West Covina CA 91790-3402 |
| Practice Telephone | 6263883553 |
| Practice Fax Number | 6263385432 |
| Mailing Telephone | 6263383553 |
| Mailing Fax Number | 6263385432 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PRAKASH PATEL (PRESIDENT) |
| Authorized Official Telephone | 6263383553 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A34471 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A34471 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050353 | Mayflower Medical Group, Inc. | Pediatrics | 1850 N Riverside Ave Ste 210, Rialto, CA 92376-8082 | 2018-10-31 |
| 1598232324 | Mayflower Medical Group, Inc. | Family Medicine | 11436 Garvey Ave, El Monte, CA 91732-3304 | 2018-10-30 |
| 1003188160 | Mayflower Medical Group, Inc. | Pediatrics | 140 N Orange Ave., Suite 100, West Covina, CA 91790-2032 | 2012-02-06 |
| 1932146370 | Mayflower Medical Group, Inc. | Family Medicine | 1433 N. Hollenbeck Ave., Suite 200, Covina, CA 91722 | 2006-06-02 |
| 1851872014 | Mayflower Medical Group, Inc. | Pediatrics | 1433 N Hollenbeck Ave Ste 104, Covina, CA 91722-1558 | 2018-08-27 |
| Street Address |
1433 W MERCED AVE #216 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054418 | Carlos Beharie Md | Obstetrics & Gynecology | 1433 W Merced Ave, #103, West Covina, CA 91790-3402 | 2005-09-26 |
| 1770065294 | Sarah Chunping Gao | Nurse Practitioner | 1433 W Merced Ave, West Covina, CA 91790-3402 | 2018-08-30 |
| 1720474257 | Nelly Parayno | Dentist | 1433 W Merced Ave, Suite 206, West Covina, CA 91790-3402 | 2015-04-10 |
| 1396151015 | Nelly A. Parayno, D.m.d., Inc. | Dentist | 1433 W Merced Ave, Suite 206, West Covina, CA 91790-3402 | 2014-07-02 |
| 1780004010 | John Kim, M.d.a Professional Corporation | Family Medicine | 1433 W Merced Ave, Suit #311, West Covina, CA 91790-3402 | 2014-04-25 |
| 1417370289 | Mayra Elizabeth Sohn | Nurse Practitioner | 1433 W Merced Ave, West Covina, CA 91790-3402 | 2014-01-29 |
| 1457608580 | Just 4 Kids Pediatrics, Inc | Pediatrics | 1433 W Merced Ave, Ste 103, West Covina, CA 91790 | 2012-08-08 |
| 1033472758 | Jui Lien Chen | Acupuncturist | 1433 W Merced Ave, Ste 309, West Covina, CA 91790-3402 | 2012-06-18 |
| 1548435092 | Ileana Reit | Nurse Practitioner | 1433 W Merced Ave, #103, West Covina, CA 91790-3402 | 2008-04-25 |
| 1639352446 | Harry E Confer Dpm A Professional Corp | Podiatrist | 1433 W Merced Ave, Suite 310, West Covina, CA 91790-3402 | 2007-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433965 | Kenneth Tye | Internal Medicine | 1250 S Sunset Ave, West Covina, CA 91790-3962 | 2005-08-03 |
| 1134731482 | Borromeo IIi Md A Medical Corporation | Internal Medicine | 3218 E Holt Ave Ste 200, West Covina, CA 91791-2310 | 2020-08-18 |
| 1578835021 | Jonathan J Tye, Md A Professional Corp | Internal Medicine | 1250 S Sunset Ave, Ste 202, West Covina, CA 91790-3961 | 2012-01-30 |
| 1780993360 | Mohd Qaisar A Khan Md Inc | Internal Medicine | 1535 W Merced Ave, Ste 302, West Covina, CA 91790-3404 | 2010-09-30 |
| 1568631901 | Kenneth Tye, M.d., Inc. | Internal Medicine | 1250 S Sunset Ave, #202, West Covina, CA 91790-3961 | 2008-02-28 |
| 1417057068 | Jonathan Tye | Internal Medicine | 1250 S Sunset Ave, Ste 202, West Covina, CA 91790-3961 | 2006-09-24 |
| 1700890399 | Pareed K Mohamed | Internal Medicine | 906 S Sunset Ave, Ste 101, West Covina, CA 91790-3400 | 2006-07-28 |
| 1487670485 | Mohd. Qaisar A Khan | Internal Medicine | 1535 W Merced Ave, Suite 302, West Covina, CA 91790-3404 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.