DOCTORS MEDICAL GROUP – NPI #1912930165
Clinic/Center

DOCTORS MEDICAL GROUP is an AHC clinic located in WEST COVINA, CA. NPPES has assigned the NPI number 1912930165 to DOCTORS MEDICAL GROUP on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DOCTORS MEDICAL GROUP” is a dba name, the actual legal business name for this organization is FE B ADVINCULA MD INC. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 18 years ago on Oct 29, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOCTORS MEDICAL GROUP below.

NPI Profile for
FE B ADVINCULA MD INC

NPI Number
1912930165
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FE B ADVINCULA MD INC
Doing Business As (dba): DOCTORS MEDICAL GROUP
Primary location
1300 S SUNSET AVE
WEST COVINA, CA 91790-3342
Phone: (626) 338-3991 Fax: (626) 338-7840
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA ZENDEJAS
ADMINISTRATOR
Phone: (626) 338-3991
Updated
Identifiers

Identifiers for DOCTORS MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0053680
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.