AXMINSTER MEDICAL GROUP (NPI# 1821099227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821099227 |
| Entity Type | Organization |
| Organization Name | AXMINSTER MEDICAL GROUP |
| Practice Address |
4314 W Slauson Ave Los Angeles CA 90043-2854 |
| Mailing Address |
4314 W. Slauson Avenue 2nd Floor Los Angeles CA 90043 |
| Practice Telephone | 3232937171 |
| Practice Fax Number | 3232957963 |
| Mailing Telephone | 3107924060 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | ELIZABETH SANDER (PRESIDENT) |
| Authorized Official Telephone | 3107924060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0084740 | 05 | |
| CA | BLUE SHIELD | ZZZ17769Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897368 | Axminster Medical Group | Pediatrics | 8540 S Sepulveda Blvd, Suite 818, Los Angeles, CA 90045-3807 | 2005-08-09 |
| 1629079181 | Axminster Medical Group | Obstetrics & Gynecology | 20911 Earl St, Ste 440, Torrance, CA 90503-4352 | 2005-08-09 |
| 1538160098 | Axminster Medical Group | Pediatrics | 505 W Century Blvd, Los Angeles, CA 90044-4611 | 2005-08-09 |
| Street Address |
4314 W SLAUSON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635102 | Francine Atterberry | Pediatrics | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-02 |
| 1962049395 | Health Care In Los Angeles | Counselor | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2019-12-04 |
| 1457850125 | Wellpathrx Inc | Pharmacy | 4314 W Slauson Ave, Suite 1, Los Angeles, CA 90043-2808 | 2018-02-07 |
| 1043699093 | Cale Allen Franklin | Pediatrics | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2015-05-22 |
| 1508061011 | Michelle J Min | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2007-06-15 |
| 1275648149 | Kirsten U Wagner | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043 | 2006-08-20 |
| 1801883038 | Carmel Nichole Raphael | Physician Assistant | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2005-10-03 |
| 1588665798 | Kenneth Ho | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2005-08-10 |
| 1114928686 | Huey-jer Su | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| 1205837697 | Carl Feld | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680905 | Siavash Arani | Internal Medicine | 4524 San Pedro Pl, Los Angeles, CA 90011-3434 | 2020-08-19 |
| 1306455787 | All Health Medical Group, Inc | Internal Medicine | 1300 N Vermont Ave Ste 1008, Los Angeles, CA 90027-6096 | 2020-07-30 |
| 1912533985 | Milgrom Medical Inc. | Internal Medicine | 1555 Vine St Apt 433s, Los Angeles, CA 90028-5298 | 2020-03-20 |
| 1316582059 | Sera Ramadan, D.o., Inc | Internal Medicine | 1245 Wilshire Blvd Ste 812, Los Angeles, CA 90017-4808 | 2019-11-15 |
| 1154971018 | Del Refugio Healthcare Inc | Internal Medicine | 4800 S Central Ave Ste B, Los Angeles, CA 90011-5459 | 2019-09-12 |
| 1851957245 | Aviva Iofel, M.d., Inc. | Internal Medicine | 6234 Fountain Ave Unit B, Los Angeles, CA 90028-8214 | 2019-05-12 |
| 1588120539 | Netzah Health Corp | Internal Medicine | 866 N Vermont Ave Ste 2, Los Angeles, CA 90029-3587 | 2019-02-14 |
| 1306310495 | Baltimo Medical Center Inc | Internal Medicine | 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010-2905 | 2019-01-11 |
| 1528531316 | Dauna Marie Health Care Inc | Internal Medicine | 3755 Beverly Blvd Apt 303, Los Angeles, CA 90004-3540 | 2019-01-04 |
| 1710458005 | Equality Health Network PC | Internal Medicine | 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 | 2018-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.