SOUTHERN CALIFORNIA MEDICAL CENTER (NPI# 1902202195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902202195 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA MEDICAL CENTER |
| Practice Address |
12100 Valley Blvd Ste 109a El Monte CA 91732-3161 |
| Practice Telephone | 6265757500 |
| Mailing Telephone | 6265757500 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | DR. MOHAMMAD ROSEKHI (CHEIF MEDICAL OFFICER) |
| Authorized Official Telephone | 6265757500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 95000890 | CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN CALIFORNIA MEDICAL CENTER, INC. | 14550 Haynes Street, Van Nuys, CA 91411-1613 |
| Street Address |
12100 VALLEY BLVD STE 109A |
| City | EL MONTE |
| State | CA |
| Zip Code | 91732-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225357114 | Southern California Medical Center, Inc. | Clinic/Center | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3100 | 2010-05-18 |
| 1346849007 | Janessa J Hawara | Physician Assistant | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3161 | 2020-10-22 |
| 1518507698 | Reina D Moran | Nurse Practitioner | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3161 | 2020-01-07 |
| 1407491871 | Nahid Karimi | Nurse Practitioner | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3161 | 2019-11-08 |
| 1841798410 | Lien Trinh Tran | Physician Assistant | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3161 | 2018-01-29 |
| 1710392840 | Pedram Kohan | Internal Medicine | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3161 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244457 | Gema Ramirez | Nurse Practitioner | 11654 Bryant Road, El Monte, CA 91732 | 2020-10-28 |
| 1689207045 | Sylvia Valdez | Counselor | Healthright360, Inc, El Monte, CA 91732 | 2020-02-13 |
| 1558864819 | Charles Wang Dds, Professional Corporation | Clinic/Center | 4900 Peck Rd, El Monte, CA 91732 | 2018-03-13 |
| 1285153874 | Han Cai | Pharmacist | 11620 Rio Hondo Pkwy, El Monte, CA 91732 | 2017-09-14 |
| 1043605660 | Gary Yang Dds. A Professional Corporation | Dentist | 12015 Garney Ave. #a, El Monte., CA 91732 | 2015-03-31 |
| 1881095651 | Quang Thai | Pharmacist | 3948 N Peck Rd Unit A1-a2, El Monte, CA 91732 | 2014-09-11 |
| 1568705093 | Nancy Macias | Marriage & Family Therapist | 4024 Durfee Ave. Wing D, El Monte, CA 91732 | 2013-04-03 |
| 1598009193 | Josefina Margarita Islas | Rehabilitation Practitioner | 4024 North Durfee Avenue, Wing D, El Monte, CA 91732 | 2012-11-20 |
| 1316267586 | Ling Ma | Pharmacist | 3570 Santa Anita Ave., El Monte, CA 91732 | 2010-06-10 |
| 1316187255 | County of Los Angeles Auditor Controller | Clinic/Center | 4024 North Durfee Rd, El Monte, CA 91732 | 2009-03-05 |
| Find all providers in zip 91732 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225357114 | Southern California Medical Center, Inc. | Clinic/Center | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3100 | 2010-05-18 |
| 1316187255 | County of Los Angeles Auditor Controller | Clinic/Center | 4024 North Durfee Rd, El Monte, CA 91732 | 2009-03-05 |
| 1851466213 | Healthy Living Adult Day Health Care | Clinic/Center | 4410 N Peck Road, El Monte, CA 91732 | 2006-11-21 |
| 1528079233 | County of Los Angeles | Clinic/Center | 10953 Ramona Blvd, El Monte, CA 91731-2629 | 2006-08-10 |
| 1053335406 | Aurora Medical Corporation | Clinic/Center | 11245 Lower Azusa Rd, El Monte, CA 91731-1411 | 2006-07-27 |
| 1073124244 | County of Los Angeles | Clinic/Center | 10953 Ramona Blvd, Rm#: 1293, 1295a, 1160, El Monte, CA 91731-2629 | 2020-08-12 |
| 1922575216 | American Current Care of California, A Medical Corporation | Clinic/Center | 9350 Flair Dr Ste 102, El Monte, CA 91731-2828 | 2018-10-25 |
| 1841675006 | Dare To Care Wellness Center | Clinic/Center | 10505 Valley Blvd, #206, El Monte, CA 91731-2413 | 2015-07-29 |
| 1265810766 | Global Health Education and Information Services, Inc. | Clinic/Center | 10301 Garvey Ave, Suite 100, El Monte, CA 91733-2180 | 2015-05-15 |
| 1861731218 | County of Los Angeles Auditor Controller | Clinic/Center | 10953 Ramona Blvd, El Monte, CA 91731-2629 | 2013-02-05 |
| Find all providers in EL MONTE | ||||
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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.