OCEAN MEDICAL FAMILY AND URGENT CARE MEDICAL CORPORATION INC (NPI# 1306820758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306820758 |
| Entity Type | Organization |
| Organization Name | OCEAN MEDICAL FAMILY AND URGENT CARE MEDICAL CORPORATION INC |
| Practice Address |
1106 S Pacific Coast Hwy Redondo Beach CA 90277 |
| Practice Telephone | 3103161661 |
| Practice Fax Number | 3103161846 |
| Mailing Telephone | 3103161661 |
| Mailing Fax Number | 3103161846 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | MR. BRADLEY D SMITH (PRESIDENT CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3103161661 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G66535 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1106 S PACIFIC COAST HWY |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063035087 | Brianna Bracy | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2020-05-26 |
| 1174087977 | Casey Kathleen Salgado | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2019-01-25 |
| 1881136570 | Jacquelyn Sander | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2016-11-10 |
| 1841629805 | Daniel Christopher Munoz | Physician Assistant | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2013-11-10 |
| 1932279726 | Bradley Smith | Family Medicine | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277-4902 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| 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 |
|---|---|---|---|---|
| 1578989059 | Dorothy Gwen Moore | Family Medicine | 626 N Paulina Ave, Redondo Beach, CA 90277-3022 | 2014-03-09 |
| 1891039012 | Maheshni Rukmal Karunasena | Family Medicine | 432 S Pacific Coast Highway, Redondo Beach, CA 90277 | 2012-11-15 |
| 1366581290 | Michael Chien Yu | Family Medicine | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2007-02-06 |
| 1649355256 | Robert Hosseini | Family Medicine | 1728 S Catalina Ave, Redondo Beach, CA 90277-5504 | 2006-10-25 |
| 1578676334 | Jason Ho | Family Medicine | 520 N Prospect Ave Ste 102, Redondo Beach, CA 90277-3033 | 2006-08-16 |
| 1417924804 | Lisa Marie Santora | Family Medicine | 1200 Del Amo Street, Redondo Beach, CA 90277 | 2006-03-03 |
| 1760466700 | Madison Park Family Medical | Family Medicine | 1970 So Prospect Ave, Suite 3, Redondo Beach, CA 90277 | 2005-12-02 |
| 1164415071 | Ludmila T Pyter | Family Medicine | 502 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2005-08-25 |
| 1255895686 | Marlene E Roberts | Family Medicine | 2850 Artesia Blvd, Redondo Beach, CA 90278-3419 | 2019-01-30 |
| 1922528942 | Joshua Chou | Family Medicine | 520 N Prospect Ave Ste 103, Redondo Beach, CA 90277-3033 | 2017-06-21 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on OCEAN MEDICAL FAMILY AND URGENT CARE MEDICAL CORPORATION INC.
| 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.