ARDMORE MEDICAL GROUP


Address: 3500 E Whittier Blvd, 105, Los Angeles, CA 90023
Phone: 3232628100

ARDMORE MEDICAL GROUP (NPI# 1871685594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871685594
Entity Type Organization
Organization Name ARDMORE MEDICAL GROUP
Other Organization Name CLINICA HUMANITARIA
Practice Address 3500 E Whittier Blvd
105
Los Angeles
CA 90023
Mailing Address 5953 Atlantic Blvd
Maywood
CA 90270
Practice Telephone 3232628100
Practice Fax Number 3232622146
Mailing Telephone 3235626170
Mailing Fax Number 3235626176
Enumeration Date 2006-09-29
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 521599 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Clinica Humanitaria Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1790873776 Ardmore Medical Group Family Medicine 3518 W 8th Street, Los Angeles, CA 90005 2006-10-11

Office Location

Street Address 3500 E WHITTIER BLVD
105
City LOS ANGELES
State CA
Zip Code 90023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063619062 Bertram B Amiri Dentist 3500 E Whittier Blvd, #101, Los Angeles, CA 90023 2007-07-02

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1073951992 Behavioral Health Services, Inc. Community/Behavioral Health 2515 Whittier Blvd., Los Angeles, CA 90023 2013-06-13
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245845700 Amber Li Nurse Practitioner 3852 Bostwick St, Los Angeles, CA 90063-1765 2020-09-11
1750995916 Yeranui Stepanyan Np Advance Practice Nursing Apc Nurse Practitioner 1711 W Temple St Fl 1, Los Angeles, CA 90026-7329 2020-09-04
1255943452 Emily Wright Nurse Practitioner 11500 W Olympic Blvd Ste 570, Los Angeles, CA 90064-1536 2020-08-19
1174134472 Hanna Song Nurse Practitioner 1234 Wilshire Blvd Apt 437, Los Angeles, CA 90017-1983 2020-08-11
1760090351 Katherine Tran Nurse Practitioner 11120 Queensland St Unit B11, Los Angeles, CA 90034-5230 2020-07-20
1811512072 Annabel Jeng Nurse Practitioner 3360 Isabel Dr, Los Angeles, CA 90065-1931 2020-06-13
1205465994 Tania Parhami Nurse Practitioner 2045 S Bentley Ave Apt 201, Los Angeles, CA 90025-5673 2020-04-03
1205466349 Laura Madeline Locke Nurse Practitioner 127 S San Vicente Blvd Ste 6600, Los Angeles, CA 90048-3311 2020-01-16
1629616412 Marcie Lynn Hulpa Nurse Practitioner 11812 Gorham Ave Apt 203, Los Angeles, CA 90049-5491 2019-12-12
1457901183 Alexandria Rebecca Borys Nurse Practitioner 200 Ucla Medical Plz Ste B265b2, Los Angeles, CA 90095-8344 2019-09-15
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90023

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Dataset Information

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.

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