ARDMORE MEDICAL GROUP (NPI# 1558458836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558458836 |
| Entity Type | Organization |
| Organization Name | ARDMORE MEDICAL GROUP |
| Other Organization Name | CLINICA HUMANITARIA |
| Practice Address |
5953 Atlantic Blvd Maywood CA 90270 |
| Practice Telephone | 3235626170 |
| Practice Fax Number | 3235626176 |
| Mailing Telephone | 3235626170 |
| Mailing Fax Number | 3235626176 |
| Enumeration Date | 2006-10-06 |
| 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 | 207V00000X | Obstetrics & Gynecology | A39477 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica Humanitaria | 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 |
| 1275627770 | Ardmore Medical Group | Family Medicine | 3564 A Santa Anita Ave, El Monte, CA 91731 | 2006-10-02 |
| 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 |
| Street Address |
5953 ATLANTIC BLVD |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215985536 | Jesus C Aseniero | General Practice | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2006-05-05 |
| 1629203609 | Nancy C Baylon | Physician Assistant | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2009-05-20 |
| 1992991863 | M. Rachel Dubria | Physician Assistant | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2007-09-24 |
| 1871789149 | Advantage Health Network Inc | Family Medicine | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2007-09-20 |
| 1144382102 | William Gomez | Physician Assistant | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2006-12-15 |
| 1548322654 | Alan K Kims | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2006-12-14 |
| 1982766085 | Yvette Perdomo | Pediatrics | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2006-12-14 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1770662850 | Cynthia Ann Francis | Physician Assistant | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2006-11-02 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1457674558 | Jesse Ignacio Guerrero | Dental Assistant | 3659 54th St. Loma Vista Ave., House, Maywood, CA 90270-2119 | 2010-03-04 |
| 1255945507 | Ana Elena Duran | Dietitian, Registered | 3759 E 55th St, Maywood, CA 90270-2133 | 2020-09-03 |
| Find all providers in zip 90270 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891746145 | Michael David Seidner | Obstetrics & Gynecology | 113 Essex St, Suite 202, Maywood, NJ 07607-1023 | 2006-05-12 |
| 1326676057 | Kathryn Patton | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-29 |
| 1770110066 | Katherine Schultz | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-25 |
| 1235690249 | Kelly Ryan | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-31 |
| 1811458540 | Anna Celerina Gonzalez Griffin | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-26 |
| 1174083414 | Ravi Dipak Patel | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-22 |
| 1912466020 | Kailynn Adam | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-18 |
| 1780189712 | Margaret Brown Kistner | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-03-30 |
| 1285139964 | Elyse Marie Schultz | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-26 |
| 1013411206 | Anne Tjaden | Obstetrics & Gynecology | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-21 |
| Find all providers in MAYWOOD | ||||
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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.