NATIONWIDE MEDICAL GROUP, INC (NPI# 1699822098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699822098 |
| Entity Type | Organization |
| Organization Name | NATIONWIDE MEDICAL GROUP, INC |
| Practice Address |
1133 Coloma Way Ste C Roseville CA 95661-4480 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 9167746647 |
| Practice Fax Number | 9167746456 |
| Mailing Telephone | 8182060360 |
| Mailing Fax Number | 8182060383 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. GEORGE GIRGIS (DIRECTOR) |
| Authorized Official Telephone | 6618619967 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0087167 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578614525 | Nationwide Medical Group, Inc | Clinic/Center | 1343 W Main Street, Suites A&b, Merced, CA 95340-4438 | 2007-01-16 |
| 1174671549 | Nationwide Medical Group, Inc | Clinic/Center | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2007-01-08 |
| 1538216916 | Nationwide Medical Group, Inc | Clinic/Center | 125 West F Street, Suite 101, Ontario, CA 91762-3262 | 2007-01-05 |
| 1760539183 | Nationwide Medical Group, Inc | Clinic/Center | 1825 E Thelborn Street, West Covina, CA 91791 | 2007-01-05 |
| 1578610986 | Nationwide Medical Group, Inc | Clinic/Center | 2650 Jones Way Suite 10, Simi Valley, CA 93065-1203 | 2007-01-05 |
| 1851448435 | Nationwide Medical Group, Inc | Clinic/Center | 14240 E Imperial Hwy, La Mirada, CA 90638-1940 | 2007-01-04 |
| 1952458523 | Nationwide Medical Group, Inc | Clinic/Center | 614 W Manchester Blvd Ste 104, Inglewood, CA 90301-1683 | 2007-01-04 |
| 1740337120 | Nationwide Medical Group, Inc | Clinic/Center | 103 Modesto Ave, Modesto, CA 95354-0414 | 2007-01-05 |
| 1629125059 | Nationwide Medical Group, Inc | Clinic/Center | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-05 |
| 1710034103 | Nationwide Medical Group, Inc | Clinic/Center | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2007-01-05 |
| Street Address |
1133 COLOMA WAY STE C |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915076 | Anthony Souza | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-09-04 |
| 1558985929 | Delora Wiley | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-06-02 |
| 1043839590 | Tori Rooke | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-04-15 |
| 1871127555 | Lizbeth Lopez | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2020-03-02 |
| 1356988083 | Jennifer Aileen Gomez | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-12-02 |
| 1871137695 | Andre Tedrell Benson | Licensed Vocational Nurse | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-11-05 |
| 1285286880 | Naesha Wells | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-07-12 |
| 1801454970 | Carla A Ghamami | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-06-03 |
| 1336707710 | Mey K Saelee | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-05-31 |
| 1154989531 | Deva Barnes | Counselor | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192571 | Sierra Pregnancy & Health | Clinic/Center | 1212 Coloma Way, Ste. A, Roseville, CA 95661-4646 | 2017-02-08 |
| 1447206321 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 729 Sunrise Blvd, Suite 900, Roseville, CA 95661-4565 | 2006-05-25 |
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| Find all providers with the same taxonomy | ||||
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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.