CENTURY WOMEN MEDICAL GROUP, INC. (NPI# 1235790718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235790718 |
| Entity Type | Organization |
| Organization Name | CENTURY WOMEN MEDICAL GROUP, INC. |
| Practice Address |
13309 Van Nuys Blvd Pacoima CA 91331-3006 |
| Mailing Address |
8679 W Pico Blvd Los Angeles CA 90035-2315 |
| Practice Telephone | 3105531200 |
| Practice Fax Number | 3105531216 |
| Mailing Telephone | 3105531200 |
| Mailing Fax Number | 3105531216 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | MR. DAVID CHRISTOPHER CASTRO II (ADMINISTRATOR) |
| Authorized Official Telephone | 3105531200 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTURY WOMEN MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1093834533 | 05 | |
| CA | 1285753723 | 05 | |
| CA | 1821161860 | 05 | |
| CA | 1275619736 | 05 |
| Other Name | Type Code |
|---|---|
| CENTURY WOMEN MEDICAL GROUP INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093834533 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 8679 W Pico Blvd, Los Angeles, CA 90035-2315 | 2007-03-28 |
| 1225375777 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 16900 Lakewood Blvd, # 308, Bellflower, CA 90706-5580 | 2013-01-03 |
| 1285926626 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 7301 State St, Huntington Park, CA 90255-5823 | 2011-05-04 |
| 1528359197 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 2080 Century Park E Ste 507, Los Angeles, CA 90067-2008 | 2011-04-29 |
| 1295854701 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 2080 Century Park E Ste 507, Los Angeles, CA 90067-2008 | 2007-03-28 |
| 1285753723 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 2030 W Pico Blvd, Los Angeles, CA 90006-5011 | 2007-03-28 |
| Street Address |
13309 VAN NUYS BLVD |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639256159 | Minh Thi Bui | Physician Assistant | 13309 Van Nuys Blvd, Pacoima, CA 91331-3006 | 2006-11-01 |
| 1831758762 | S Shaun Daneshgar Dmd Inc | Dentist | 13309 Van Nuys Blvd, Pacoima, CA 91331-3006 | 2019-06-13 |
| 1386785715 | Ralph Mayer | Family Medicine | 13309 Van Nuys Blvd, Pacoima, CA 91331-3006 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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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.