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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 521599 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Clinica Humanitaria | Doing Business As Name - Organization |
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 |
Street Address |
3500 E WHITTIER BLVD 105 |
City | LOS ANGELES |
State | CA |
Zip Code | 90023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063619062 | Bertram B Amiri | Dentist | 3500 E Whittier Blvd, #101, Los Angeles, CA 90023 | 2007-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
Find all providers in zip 90023 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90023 |
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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.