MOSAIC FAMILY CARE MEDICAL GROUP, INC. (NPI# 1891830568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891830568 |
| Entity Type | Organization |
| Organization Name | MOSAIC FAMILY CARE MEDICAL GROUP, INC. |
| Practice Address |
4857 Huntington Dr N Los Angeles CA 90032 |
| Practice Telephone | 3232269042 |
| Practice Fax Number | 3232269426 |
| Mailing Telephone | 3232269042 |
| Mailing Fax Number | 3232269424 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | MR. JUAN ANTONIO SILVA (MD/CEO) |
| Authorized Official Telephone | 3232269042 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0091710 | 05 |
| Street Address |
4857 HUNTINGTON DR N |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790738110 | Juan Silva | Family Medicine | 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 2006-05-18 |
| 1548694169 | Pamela Carter Bryant | Registered Nurse | 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 2013-08-30 |
| 1790063543 | Erika Ruiz | Physician Assistant | 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 2011-07-27 |
| 1881891463 | Randy Chen, Dds | Dentist | 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 2007-06-28 |
| 1336245364 | Randy L Chen | Dentist | 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 2006-09-16 |
| 1639125487 | Lisa Ma | Family Medicine | 4857 Huntington Dr N, Los Angeles, CA 90032-1939 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1063867448 | Paul Mendez | Social Worker | 4099 North Mission Rd, Los Angeles, CA 90032 | 2016-05-04 |
| 1700245297 | Diana Truong | Pharmacist | 3333 S Figueroa St Unit 3, Los Angeles, CA 90032 | 2016-02-12 |
| 1114308400 | Francis Alvin Perez | Specialist/Technologist | 5035 O'sullivan Dr., Los Angeles, CA 90032 | 2015-06-12 |
| 1417351370 | Comfort Providers Group Hospice,inc. | Hospice Care, Community Based | 4943 Renovo Street., Los Angeles, CA 90032 | 2014-10-21 |
| 1679917652 | Principles Inc. | Substance Abuse Rehabilitation Facility | 3217 N Eastern Ave, Los Angeles, CA 90032 | 2013-04-22 |
| 1679851885 | Joshua M Arellano | Physical Therapist | 3836 Hellman Ave, Los Angeles, CA 90032 | 2011-07-22 |
| 1346532322 | Brenda Ramires-torres | Counselor | 2457 Endicott Street, Los Angeles, CA 90032 | 2011-05-09 |
| 1063716561 | Lisa Erin Gold | Social Worker | 4099 N. Mission Road, Los Angeles, CA 90032 | 2010-12-27 |
| 1992013320 | Mary Luikens | Counselor | 4099 N. Misson Rd., Los Angeles, CA 90032 | 2010-09-20 |
| Find all providers in zip 90032 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90032 |
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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.