MAYWOOD FAMILY MEDICAL CENTER (NPI# 1801184841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801184841 |
| Entity Type | Organization |
| Organization Name | MAYWOOD FAMILY MEDICAL CENTER |
| Practice Address |
5920 Atlantic Blvd Maywood CA 90270-3101 |
| Practice Telephone | 3235622535 |
| Practice Fax Number | 3235622558 |
| Mailing Telephone | 3235622535 |
| Mailing Fax Number | 3235622558 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DR. RAGAA Z. ISKAROUS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5625227413 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A45155 | CA | Ambulatory Health Care Facilities |
| Street Address |
5920 ATLANTIC BLVD |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992929335 | Heidi Tawadros | General Practice | 5920 Atlantic Blvd, Maywood, CA 90270-3101 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in zip 90270 | ||||
| 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). |
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| 1013343078 | Maywood Healthcare Clinic, Inc. | Clinic/Center | 4205 Slauson Ave, Maywood, CA 90270-2835 | 2013-09-23 |
| 1023442753 | Proviso Leyden Council for Community Action | Clinic/Center | 411 Madison St, Maywood, IL 60153-2136 | 2013-08-29 |
| 1205086501 | Patricia Gail Braun | Clinic/Center | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2008-09-23 |
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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.