PERFORMANCE HEALTH MEDICAL GROUP (NPI# 1922145911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922145911 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE HEALTH MEDICAL GROUP |
| Practice Address |
21707 Hawthorne Blvd Ste 201 Torrance CA 90503 |
| Practice Telephone | 3105409699 |
| Practice Fax Number | 3105409486 |
| Mailing Telephone | 3105409699 |
| Mailing Fax Number | 3105409486 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | BRIAN D CARRICO (OWNER) |
| Authorized Official Telephone | 3105409699 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1174660161 | Performance Health Medical Group | Family Medicine | 13252 Garden Grove Blvd, Suite 112, Garden Grove, CA 92843-2204 | 2007-01-31 |
| 1750622577 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Rd, Suite 118, Laguna Hills, CA 92653-5518 | 2013-03-04 |
| Street Address |
21707 HAWTHORNE BLVD STE 201 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952322547 | Nancy Ellen Silbert | Social Worker | 21707 Hawthorne Blvd, Suite 304, Torrance, CA 90503-7009 | 2006-07-21 |
| 1639739865 | Aglae Lopez | Case Manager/Care Coordinator | 21707 Hawthorne Blvd, Torrance, CA 90503-7009 | 2019-06-19 |
| 1659674547 | High Quality Hospice Care | Hospice Care, Community Based | 21707 Hawthorne Blvd, Suite 304, Torrance, CA 90503-7009 | 2010-12-15 |
| 1598996746 | Coastal Care Inc | Home Health | 21707 Hawthorne Blvd, Suite 106, Torrance, CA 90503-7009 | 2009-08-06 |
| 1417110834 | Performance Medical & Rehab Center | Family Medicine | 21707 Hawthorne Blvd, Suite 101, Torrance, CA 90503-7010 | 2008-07-07 |
| 1457534026 | Freddie De Andrea Black | Marriage & Family Therapist | 21707 Hawthorne Blvd, Suite 200, Torrance, CA 90503-7009 | 2007-12-06 |
| 1215121074 | City of Angels Home Health, Inc. | Home Health | 21707 Hawthorne Blvd, Suite 202, Torrance, CA 90503-7009 | 2007-09-04 |
| 1659570729 | Jennifer Zinola | Marriage & Family Therapist | 21707 Hawthorne Blvd, Suite 300, Torrance, CA 90503-7009 | 2007-07-17 |
| 1104941038 | Rose Marie Ortiz | Counselor | 21707 Hawthorne Blvd, Suite 300, Torrance, CA 90503-7009 | 2007-03-20 |
| 1649394537 | Dawn Jones | Marriage & Family Therapist | 21707 Hawthorne Blvd, Torrance, CA 90503-7009 | 2007-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316191703 | Moses Abraham Laufer | General Practice | 23456 Hawthorne Blvd Ste 106, Torrance, CA 90505-4716 | 2008-11-11 |
| 1497807325 | Michael Cheeluen Chan,a Professional Corporation | General Practice | 21150 Hawthone Blvd, 202, Torrance, CA 90503 | 2007-01-18 |
| 1710986740 | Hameed A. Khan | General Practice | 3655 Lomita Blvd, Suite # 421, Torrance, CA 90505-3931 | 2005-07-20 |
| 1417454075 | Neil Shah | General Practice | 1000 W Carson St, Torrance, CA 90502-2059 | 2018-04-10 |
| 1316454507 | Angela Morena Rios I | General Practice | 1000 W Carson St, Torrance, CA 90502-2004 | 2018-01-09 |
| 1770967622 | Philip Zhou | General Practice | 1000 W Carson St, Torrance, CA 90502-2004 | 2015-07-09 |
| 1750628715 | Sunila Fuster Md A Professional Corp. | General Practice | 4201 Torrance Blvd, Ste. 530, Torrance, CA 90503-4504 | 2013-01-11 |
| 1003172826 | Delamo Family Medical Group Inc | General Practice | 3475 Torrance Blvd Ste G, Torrance, CA 90503-5800 | 2012-04-05 |
| 1467738757 | Cls Medical Group Inc | General Practice | 21320 Hawthorne Blvd, Suite 210, Torrance, CA 90503-5606 | 2011-10-31 |
| 1952533606 | Diagnostic Imaging Services, Inc. | General Practice | 4201 Torrance Blvd, Suite # 590, Torrance, CA 90503-4504 | 2009-08-13 |
| Find all providers in TORRANCE | ||||
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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.