CERRITOS MEDICAL CENTER, INC (NPI# 1871768663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871768663 |
| Entity Type | Organization |
| Organization Name | CERRITOS MEDICAL CENTER, INC |
| Practice Address |
11911 Artesia Blvd Ste 101 Cerritos CA 90701-4065 |
| Practice Telephone | 5624027622 |
| Practice Fax Number | 5624022452 |
| Mailing Telephone | 5624027622 |
| Mailing Fax Number | 5624022452 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. JOHN SHIN KIM (OWNER) |
| Authorized Official Telephone | 5624027622 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G66684 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11911 ARTESIA BLVD STE 101 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90701-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073812 | Personal Best Physical Therapy | Physical Therapist | 11911 Artesia Blvd, Suite 207, Cerritos, CA 90701-4065 | 2006-10-05 |
| 1871039487 | Pure Care Hospice, Inc. | Hospice Care, Community Based | 11911 Artesia Blvd, Suite 208, Cerritos, CA 90701-4065 | 2017-01-06 |
| 1336540087 | Han Orthopaedics | Clinic/Center | 11911 Artesia Blvd, Suite 105, Cerritos, CA 90701-4065 | 2014-09-12 |
| 1235540741 | John Kim M.d. A Professional Corporation | Family Medicine | 11911 Artesia Blvd, Suit #101, Cerritos, CA 90701-4065 | 2014-05-19 |
| 1386078327 | Teresa Jiwon Kim | Nurse Practitioner | 11911 Artesia Blvd, Ste#101, Cerritos, CA 90701-4065 | 2013-08-27 |
| 1194013110 | Angels of The Valley Hospice Care South Bay | Hospice Care, Community Based | 11911 Artesia Blvd, Suite 104a, Cerritos, CA 90701-4065 | 2011-07-11 |
| 1538477278 | Reemar Medical Group, Inc. | Specialist | 11911 Artesia Blvd, Suite 104-b, Cerritos, CA 90701-4065 | 2010-09-15 |
| 1740512235 | Shawn T. Van Enoo, D.p.m. A Professional Corporation | Podiatrist | 11911 Artesia Blvd, #103, Cerritos, CA 90703-4070 | 2010-02-08 |
| 1104031715 | Lorraine Monica Johnson | Chiropractor | 11911 Artesia Blvd, Cerritos, CA 90701-4065 | 2007-05-14 |
| 1689725566 | Angela H. Jun | Nurse Practitioner | 11911 Artesia Blvd, Cerritos, CA 90701-4065 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| 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 |
|---|---|---|---|---|
| 1417571126 | Apex Health Care Services | Family Medicine | 10900 183rd St Ste 130, Cerritos, CA 90703-5347 | 2020-05-29 |
| 1134302847 | Ronald Ngayan | Family Medicine | 11514 Wimbley Ct, Cerritos, CA 90703-1761 | 2007-12-17 |
| 1598897159 | Ushakumar Gogineni | Family Medicine | 13220 Rose St, Cerritos, CA 90703-8644 | 2007-03-09 |
| 1831202092 | Jenny Tai | Family Medicine | 13299 E. South Street, Cerritos, CA 90703 | 2006-08-15 |
| 1932113313 | Yoon Suk Pak | Family Medicine | 11841 South St, Cerritos, CA 90703-6825 | 2006-07-28 |
| 1609829415 | John A. Keipp | Family Medicine | 12900 Park Plaza Drive # 150, Attention: Maggie Noles Ms 6160, Cerritos, CA 90703-9329 | 2006-05-19 |
| 1215472048 | Ejw Inc | Family Medicine | 18331 Gridley Rd, Suite A, Cerritos, CA 90703-5438 | 2017-01-03 |
| 1235540741 | John Kim M.d. A Professional Corporation | Family Medicine | 11911 Artesia Blvd, Suit #101, Cerritos, CA 90701-4065 | 2014-05-19 |
| 1790122497 | Jeffrey Steven Felgner | Family Medicine | 12898 Towne Center Dr, Cerritos, CA 90703-8546 | 2013-06-04 |
| 1043564792 | Long Quang Dang | Family Medicine | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2012-11-02 |
| Find all providers in CERRITOS | ||||
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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.