JOSEPH M MOLINA MD PROFESSIONAL CORPORATION- SOUTHERN CALIFORNIA (NPI# 1578073078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578073078 |
| Entity Type | Organization |
| Organization Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION- SOUTHERN CALIFORNIA |
| Other Organization Name | GOLDEN SHORE MEDICAL |
| Practice Address |
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 |
| Practice Telephone | 6263462455 |
| Mailing Telephone | 6263462455 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | JOSEPH M MOLINA (OWNER) |
| Authorized Official Telephone | 6263462455 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Golden Shore Medical | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467803510 | Joseph M Molina Md Professional Corporation- Southern California | Family Medicine | 1111 E Artesia Blvd, Compton, CA 90221-5314 | 2016-06-29 |
| 1043752371 | Joseph M Molina Md Professional Corporation- Southern California | Family Medicine | 200 Oceangate, Suite 100, Long Beach, CA 90802-4302 | 2016-11-17 |
| Street Address |
625 FAIR OAKS AVE STE 270 |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134225139 | Linda Lee Bortell | Psychologist | 625 Fair Oaks Ave Ste 270, South Pasadena, CA 91030-5801 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| 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 |
|---|---|---|---|---|
| 1033720362 | Gts Medical | Family Medicine | 6800 Gulfport Blvd S Ste 101, South Pasadena, FL 33707-2193 | 2020-08-11 |
| 1205284288 | Abhishek Gulati | Family Medicine | 1609 Pasadena Ave S Ste 2e, South Pasadena, FL 33707-4560 | 2016-05-31 |
| 1194958256 | Reena R Patel | Family Medicine | 1730 Huntington Dr Ste 203, South Pasadena, CA 91030-4860 | 2009-08-24 |
| 1144468240 | John Shieh | Family Medicine | 1024 Mission St Ste A, South Pasadena, CA 91030-3156 | 2009-01-27 |
| 1073633665 | Robert P. Fedor, D.o.p.a | Family Medicine | 1811 Shore Dr S, South Pasadena, FL 33707-4701 | 2007-03-29 |
| 1316998248 | Nathan Hashimoto | Family Medicine | 1107 Fair Oaks Ave # 476, South Pasadena, CA 91030-3311 | 2006-05-15 |
| 1104897321 | Sherri Dunkelberger | Family Medicine | 6801 Gulfport Blvd S, Suite 6, South Pasadena, FL 33707-2127 | 2006-01-27 |
| 1871599241 | Gary Seto | Family Medicine | 1800 Fair Oaks Ave, Ste A, South Pasadena, CA 91030-4775 | 2005-06-21 |
| 1811993355 | Sushama Vazrala | Family Medicine | 1609 Pasadena Ave S, Suite 3a, South Pasadena, FL 33707-4565 | 2005-06-21 |
| 1063824183 | Reena R Patel Md Inc | Family Medicine | 1108 Fremont Ave, South Pasadena, CA 91030-3227 | 2014-05-22 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
Please comment or provide details below to improve the information on JOSEPH M MOLINA MD PROFESSIONAL CORPORATION- SOUTHERN CALIFORNIA.
| 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.