MAYFLOWER MEDICAL GROUP, INC. (NPI# 1932146370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932146370 |
| Entity Type | Organization |
| Organization Name | MAYFLOWER MEDICAL GROUP, INC. |
| Practice Address |
1433 N. Hollenbeck Ave. Suite 200 Covina CA 91722 |
| Mailing Address |
1433 N. Hollenbeck Ave. Suite 200, 100, 104 Covina CA 91722 |
| Practice Telephone | 6263312209 |
| Practice Fax Number | 6269671410 |
| Mailing Telephone | 6263312209 |
| Mailing Fax Number | 6269671410 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | ARACELI FUENTES (CONTRACTS MANAGER) |
| Authorized Official Telephone | 6268001200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A96423 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A46009 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | A94585 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1433 N Hollenbeck Ave Ste 104, Covina, CA 917221558 | 6269140017 | 6269140288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050353 | Mayflower Medical Group, Inc. | Pediatrics | 1850 N Riverside Ave Ste 210, Rialto, CA 92376-8082 | 2018-10-31 |
| 1598232324 | Mayflower Medical Group, Inc. | Family Medicine | 11436 Garvey Ave, El Monte, CA 91732-3304 | 2018-10-30 |
| 1003188160 | Mayflower Medical Group, Inc. | Pediatrics | 140 N Orange Ave., Suite 100, West Covina, CA 91790-2032 | 2012-02-06 |
| 1851872014 | Mayflower Medical Group, Inc. | Pediatrics | 1433 N Hollenbeck Ave Ste 104, Covina, CA 91722-1558 | 2018-08-27 |
| 1235232620 | Mayflower Medical Group, Inc. | Internal Medicine | 1433 W Merced Ave, #216, West Covina, CA 91790-3402 | 2006-09-07 |
| Street Address |
1433 N. HOLLENBECK AVE. SUITE 200 |
| City | COVINA |
| State | CA |
| Zip Code | 91722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103693 | Citrus Family Practice Inc | Family Medicine | 20540 E Arrow Hwy Ste A, Covina, CA 91724-1200 | 2020-01-07 |
| 1114016698 | Vicky L Phillips | Family Medicine | 800 S Barranca Ave, Covina, CA 91723-3625 | 2006-10-12 |
| 1336255694 | Macario L. Domaguing Jr M.d. Inc | Family Medicine | 648 Rancho Los Nogales Dr, Covina, CA 91724-3351 | 2006-08-21 |
| 1669486783 | Jose Gabriel Castellanos | Family Medicine | 234 E Badillo St, Covina, CA 91723-2115 | 2006-07-27 |
| 1871513077 | Paul Stanley Usborne | Family Medicine | 256 W San Bernardino Rd, Covina, CA 91723-1515 | 2006-07-20 |
| 1851373310 | Alen Voskanian | Family Medicine | 1343 N. Grand Ave., Suite 1100, Covina, CA 91724 | 2005-11-18 |
| 1033107750 | Robert Leland Baker | Family Medicine | 250 W Badillo St, Covina, CA 91723-1906 | 2005-10-06 |
| 1669478228 | Ivan L Breed Md Inc | Family Medicine | 605 E Badillo St, Suite 110, Covina, CA 91723-2846 | 2005-06-28 |
| 1336608777 | Kristine R Armosilla | Family Medicine | 250 W Badillo St, Covina, CA 91723-1906 | 2019-03-15 |
| 1629573340 | Peoples Community Clinic | Family Medicine | 4626 N Grand Ave, Covina, CA 91724-2055 | 2018-03-26 |
| Find all providers in COVINA | ||||
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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.