ARDMORE MEDICAL GROUP (NPI# 1275627770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275627770 |
| Entity Type | Organization |
| Organization Name | ARDMORE MEDICAL GROUP |
| Other Organization Name | CLINICA HUMANITAR |
| Practice Address |
3564 A Santa Anita Ave El Monte CA 91731 |
| Mailing Address |
5953 Atlantic Blvd Maywood CA 90270 |
| Practice Telephone | 6263508101 |
| Practice Fax Number | 6264420196 |
| Mailing Telephone | 3235626170 |
| Mailing Fax Number | 3235626176 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN K KIMS (PRESIDENT MD) |
| Authorized Official Telephone | 3235626170 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A44265 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica Humanitar | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770649097 | Ardmore Medical Group | Obstetrics & Gynecology | 3500 E Whittier Blvd #105, Los Angeles, CA 90023 | 2006-12-29 |
| 1578624672 | Ardmore Medical Group | Obstetrics & Gynecology | 3564 Santa Anita Ave Ste A, El Monte, CA 91731-2458 | 2006-12-12 |
| 1447347786 | Ardmore Medical Group | Family Medicine | 3500 E Whittier Bl, 105, Los Angeles, CA 90023 | 2006-10-06 |
| 1427140136 | Ardmore Medical Group | Nurse Practitioner | 3518 W 8th Street, Los Angeles, CA 90005 | 2006-09-29 |
| 1447342142 | Ardmore Medical Group | Obstetrics & Gynecology | 2765 E Florence Ave, Huntington Park, CA 90255 | 2006-09-29 |
| 1871685594 | Ardmore Medical Group | Nurse Practitioner | 3500 E Whittier Blvd, 105, Los Angeles, CA 90023 | 2006-09-29 |
| 1235299637 | Ardmore Medical Group | Obstetrics & Gynecology | 2765 E Florence Ave, Huntington Park, CA 90255-5750 | 2006-12-08 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1720178932 | Ardmore Medical Group | Family Medicine | 2765 E Florence Ave, Huntington Park, CA 90255 | 2006-10-16 |
| 1790873776 | Ardmore Medical Group | Family Medicine | 3518 W 8th Street, Los Angeles, CA 90005 | 2006-10-11 |
| Street Address |
3564 A SANTA ANITA AVE |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232324 | Mayflower Medical Group, Inc. | Family Medicine | 11436 Garvey Ave, El Monte, CA 91732-3304 | 2018-10-30 |
| 1851582324 | Gustavo Casillas | Family Medicine | 10418 Valley Blvd # B, El Monte, CA 91731-3600 | 2007-08-08 |
| 1407907744 | Tri Minh Vo | Family Medicine | 10107 Valley Blvd, El Monte, CA 91731-2329 | 2007-01-15 |
| 1043361546 | Mohammad H Rasekhi | Family Medicine | 12100 Valley Blvd, Suite#109a, El Monte, CA 91732-3100 | 2007-01-13 |
| 1629126289 | Raymond H.i. Goei | Family Medicine | 9960 Baldwin Pl, El Monte, CA 91731-2204 | 2007-01-08 |
| 1568521938 | William C Swanson Jr. | Family Medicine | 4200 Peck Rd Ste B, El Monte, CA 91732-2177 | 2006-12-08 |
| 1417031998 | Bernard Simon Jorge | Family Medicine | 11227 Valley Blvd, El Monte, CA 91731-3225 | 2006-10-24 |
| 1043393465 | Omar Perez | Family Medicine | 10728 E Ramona Blvd, Suite A, El Monte, CA 91731 | 2006-10-21 |
| 1699856625 | Cristian Rico | Family Medicine | 10418 Valley Blvd, Suite B, El Monte, CA 91731-3600 | 2006-10-17 |
| 1508887761 | Ignacio De Artola Jr. | Family Medicine | 4368 Santa Anita Ave, El Monte, CA 91731-1606 | 2006-07-22 |
| Find all providers in EL MONTE | ||||
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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.