WELLCARE MEDICAL GROUP (NPI# 1225314107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225314107 |
| Entity Type | Organization |
| Organization Name | WELLCARE MEDICAL GROUP |
| Other Organization Name | WELLCARE LA MEDICAL GROUP |
| Practice Address |
16415 S Colorado Avenue Suite 208 Paramount CA 90723-5054 |
| Practice Telephone | 5625310015 |
| Practice Fax Number | 5625314856 |
| Mailing Telephone | 5625310015 |
| Mailing Fax Number | 5625314856 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DR. RICHARD W LEE (PHYSICIAN) |
| Authorized Official Telephone | 5625310015 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A85452 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wellcare LA Medical Group | Doing Business As Name - Organization |
| Street Address |
16415 S COLORADO AVENUE SUITE 208 |
| City | PARAMOUNT |
| State | CA |
| Zip Code | 90723-5054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104749 | Juaquin Zavala | Behavior Technician | 16436 1/2 Orizaba Ave, Paramount, CA 90723 | 2020-01-28 |
| 1770034324 | Magdalena Gomez | Secured Medical Transport (VAN) | 14125 Garfield Ave, Paramount, CA 90723 | 2016-10-19 |
| 1932589835 | Irvine Healthcare Acupuncture, Inc. | Acupuncturist | 16444 Paramount Blvd., Suite 208, Paramount, CA 90723 | 2015-06-05 |
| 1972990711 | Lanita Morgan | Durable Medical Equipment & Medical Supplies | 16209 Paramount Bl #207, Paramount, CA 90723 | 2015-04-20 |
| 1326430596 | Desiree Anne Moreno | Marriage & Family Therapist | 13965 Arthur Ave., Unit G, Paramount, CA 90723 | 2015-02-25 |
| 1932538071 | Fernando Guerrero | Licensed Vocational Nurse | 6636 San Marcus St, Paramount, CA 90723 | 2013-11-08 |
| 1871875336 | Marleene Garcia | Radiologic Technologist | 13962 Florine Avenue, Paramount, CA 90723 | 2011-09-12 |
| 1013246222 | Green Wells Eecp Physical Therapy | Residential Treatment Facility, Physical Disabilities | 8602 Elburg Street Apt C, Paramount, CA 90723 | 2009-12-17 |
| 1457588758 | Olivier Urayeneza | Surgery | 15942 Colorado Ave, Paramount, CA 90723 | 2009-06-15 |
| 1659543189 | Kasey Djuana Bland | Marriage & Family Therapist | 8635 Somerset Blvd, Apartment #258, Paramount, CA 90723 | 2008-03-25 |
| Find all providers in zip 90723 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265588750 | Mohammad Ismail Md Inc | Internal Medicine | 16415 Colorado Ave Ste 207, Paramount, CA 90723-5054 | 2007-01-26 |
| 1780761353 | Richard W Lee | Internal Medicine | 16415 Colorado Ave Ste 208, Paramount, CA 90723-5054 | 2006-11-01 |
| 1225146061 | Dr Malvin Yan Inc | Internal Medicine | 16415 South Colorado Ave, 410, Paramount, CA 90723-5035 | 2006-08-29 |
| 1730105784 | Mohammad Ismail | Internal Medicine | 16415 Colorado Ave, Suite 207, Paramount, CA 90723-5035 | 2006-07-14 |
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| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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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.