FAMILY MEDICINE HEADQUARTERS, INC (NPI# 1740757996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740757996 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE HEADQUARTERS, INC |
| Practice Address |
521 N Azusa Ave Azusa CA 91702-2936 |
| Mailing Address |
1507 7th St # 617 Santa Monica CA 90401-2605 |
| Practice Telephone | 6263344061 |
| Practice Fax Number | 6263346828 |
| Mailing Telephone | 3105933904 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | DR. SHARIAR BORBOR (PRESIDENT / PHYSICIAN) |
| Authorized Official Telephone | 3105933904 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
521 N AZUSA AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912053851 | Hilda Flores | Physician Assistant | 521 N Azusa Ave, Azusa, CA 91702 | 2007-01-25 |
| 1477868933 | Shariar Borbor | Family Medicine | 521 N Azusa Ave, Azusa, CA 91702-2936 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1821007055 | Rafael Carcamo | Family Medicine | 647 E Arrow Hwy, Azusa, CA 91702-5802 | 2006-08-05 |
| 1033184452 | Stanton T Emerson | Family Medicine | 901 E Alosta Ave, Azusa, CA 91702-2701 | 2006-02-20 |
| 1881695401 | Juan Lempira Alas | Family Medicine | 545 N San Gabriel Ave, Azusa, CA 91702-2939 | 2005-08-04 |
| 1144626763 | Isabel Lui | Family Medicine | 914 E Gladstone St, Azusa, CA 91702-4747 | 2014-11-10 |
| 1477868933 | Shariar Borbor | Family Medicine | 521 N Azusa Ave, Azusa, CA 91702-2936 | 2010-08-09 |
| 1811216989 | Katan Pravin Patel | Family Medicine | 150 N Azusa Ave, Azusa, CA 91702-3521 | 2010-05-27 |
| 1881811404 | Foothill Community Medical Corp. | Family Medicine | 647 E Arrow Hwy, Azusa, CA 91702-5802 | 2007-04-18 |
| 1326108366 | Mohammad Anwar | Family Medicine | 216 N Azusa Ave, Azusa, CA 91702 | 2006-12-11 |
| 1811071517 | Roswitha Anwar | Family Medicine | 216 N Azusa Ave, Azusa, CA 91702-3524 | 2006-10-25 |
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| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| 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.