ONE MEDICAL GROUP, INC. (NPI# 1922470392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922470392 |
| Entity Type | Organization |
| Organization Name | ONE MEDICAL GROUP, INC. |
| Other Organization Name | ONE MEDICAL GROUP |
| Practice Address |
3615 Jack Northrop Ave. Suite 100 Hawthorne CA 90250 |
| Mailing Address |
130 Sutter St Fl 4 San Francisco CA 94104-4015 |
| Practice Telephone | 3103001051 |
| Practice Fax Number | 3103001052 |
| Mailing Telephone | 4156586791 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DR. THOMAS LEE (PRESIDENT) |
| Authorized Official Telephone | 4156586791 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ONE MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| One Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578750 | One Medical Group, Inc. | Internal Medicine | 1600 Seaport Blvd, Redwood City, CA 94063-5563 | 2020-02-03 |
| 1528580115 | One Medical Group, Inc. | Family Medicine | 2037 Landings Dr, Mountain View, CA 94043-0825 | 2017-07-14 |
| 1417382102 | One Medical Group, Inc. | Internal Medicine | 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 | 2013-09-12 |
| 1720610728 | One Medical Group, Inc. | Internal Medicine | 1674 N Shoreline Blvd, Mountain View, CA 94043-1374 | 2020-02-07 |
| 1376189837 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-11-20 |
| 1487213781 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-06-10 |
| 1891254009 | One Medical Group, Inc. | Internal Medicine | 625 Boren Avenue North, Seattle, WA 98109 | 2019-03-18 |
| 1700377256 | One Medical Group, Inc. | Family Medicine | 355 Main St, Cambridge, MA 02142-1062 | 2018-05-21 |
| 1902395320 | One Medical Group, Inc. | Internal Medicine | 121 Spear St, San Francisco, CA 94105-1581 | 2018-05-02 |
| 1275057762 | One Medical Group, Inc. | Internal Medicine | 1170 Bordeaux Dr Bldg 3, Sunnyvale, CA 94089-1209 | 2017-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ONE MEDICAL GROUP, INC. | One Embarcadero Center Floor 19, San Francisco, CA 94111 |
| Washington State Corporations | ONE MEDICAL GROUP, INC. | 130 Sutter St Fl 2, San Francisco, CA 94104-4009 |
| Street Address |
3615 JACK NORTHROP AVE. SUITE 100 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1710512843 | Daisy Warren | Family Medicine | 12501 Oxford Ave Apt A, Hawthorne, CA 90250-4884 | 2020-03-09 |
| 1396189288 | Gregory Vanepps | Family Medicine | 3615 Jack Northrop Ave Ste 100, Hawthorne, CA 90250-4436 | 2013-04-22 |
| 1538468269 | Open Arms Medical Center At | Family Medicine | 6435 Se Us Highway 301, Hawthorne, FL 32640-7309 | 2011-03-21 |
| 1851507610 | Denise Nicole Smith | Family Medicine | 4455 W 117th Street Suite 200, Hawthorne, CA 90250-2241 | 2007-05-15 |
| 1588878300 | Hawthorne Family Practice | Family Medicine | 1083 Goffle Rd, Hawthorne, NJ 07506-2025 | 2007-05-10 |
| 1467517334 | Avril D Anthony-wilson | Family Medicine | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2006-12-22 |
| 1023196318 | Hawthorne Medical Center, Inc. | Family Medicine | 21815 S.e .71st Avenue, Hawthorne, FL 32640-3974 | 2006-11-02 |
| 1215021167 | Lieu S. Nguyen, M.d., A Professional Corporation | Family Medicine | 15032 Prairie Ave, Hawthorne, CA 90250-8316 | 2006-10-03 |
| 1841214285 | Lieu Nguyen | Family Medicine | 15032 S Prairie Ave, Hawthorne, CA 90250 | 2006-07-27 |
| 1548295066 | Janet Fahem Soliman | Family Medicine | 11946 Hawthorne Blvd, Hawthorne, CA 90250-3016 | 2006-07-12 |
| Find all providers in HAWTHORNE | ||||
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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.