SOUTH ATLANTIC MEDICAL GROUP (NPI# 1710160635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710160635 |
| Entity Type | Organization |
| Organization Name | SOUTH ATLANTIC MEDICAL GROUP |
| Practice Address |
6300 Florence Ave Bell Gardens CA 90201-8900 |
| Mailing Address |
5504 Whittier Blvd Los Angeles CA 90022-4104 |
| Practice Telephone | 5628066667 |
| Mailing Telephone | 3237250167 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | NISSAN KAHEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3237250167 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A41061 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0020633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629251541 | South Atlantic Medical Group | General Practice | 2616 Clarendon Ave, Huntington Park, CA 90255-4120 | 2007-12-13 |
| 1790705267 | South Atlantic Medical Group | Family Medicine | 5504 Whittier Blvd, Los Angeles, CA 90022-4104 | 2006-07-20 |
| 1801079728 | South Atlantic Medical Group | General Practice | 11518 Garvey Ave, El Monte, CA 91732-3306 | 2007-12-13 |
| 1306029806 | South Atlantic Medical Group | General Practice | 1030 W Gardena Blvd, Gardena, CA 90247-4956 | 2007-12-07 |
| Street Address |
6300 FLORENCE AVE |
| City | BELL GARDENS |
| State | CA |
| Zip Code | 90201-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060969 | Salahuddin Said Aschrafnia | Family Medicine | 6300 Florence Ave, Bell Gardens, CA 90201-4766 | 2007-02-14 |
| 1700136660 | Zhaojun Huang | Nurse Practitioner | 6300 Florence Ave, Bell Gardens, CA 90201-8900 | 2012-09-18 |
| 1558660126 | Your Community Medical Group Inc | Clinic/Center | 6300 Florence Ave, Bell Gardens, CA 90201-8900 | 2011-03-22 |
| 1285935304 | Anna Nazaryan | Physician Assistant | 6300 Florence Ave, Bell Gardens, CA 90201-8900 | 2010-11-04 |
| 1962560870 | Samuel Mcmillan | Obstetrics & Gynecology | 6300 Florence Ave, Bell Gardens, CA 90201-8900 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087235 | St Jude Medical Center | Clinic/Center | 4946 E Florence Ave, Bell, CA 90201 | 2019-01-21 |
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| Find all providers in zip 90201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553211 | La Esperanza Medical Clinic, Inc | General Practice | 5985 Florence Ave Ste O, Bell Gardens, CA 90201-6755 | 2018-06-26 |
| 1962428144 | Madhuri Petkar | General Practice | 6501 Garfield Ave, Bell Gardens, CA 90201-1805 | 2006-07-14 |
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | BELL GARDENS |
| Zip Code | 90201 |
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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.