NPI Code Detail JSON Logo

1780356790 NPI number — BGM MEDICAL SERVICES INC A MEDICAL CORPORATION

NPI Number: 1780356790
Health Care Provider/Practitioner: BGM MEDICAL SERVICES INC A MEDICAL CORPORATION

Information about “1780356790” NPI (BGM MEDICAL SERVICES INC A MEDICAL CORPORATION) exists in 1780356790 in HTML format HTML  |  1780356790 in plain Text format TXT  |  1780356790 in PDF (Portable Document Format) PDF  |  1780356790 in an XML format XML  formats.

NPI Number : 1780356790 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780356790",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BGM MEDICAL SERVICES INC A MEDICAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "524 W 4TH ST STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PERRIS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92570-2016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-355-0030",
    "MailingAddressFaxNumber": "951-420-5005",
    "FirstLinePracticeLocationAddress": "524 W 4TH ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PERRIS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92570-2016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-355-0030",
    "PracticeLocationAddressFaxNumber": "951-420-5005",
    "EnumerationDate": "09/29/2021",
    "LastUpdateDate": "10/01/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADDO",
    "AuthorizedOfficialFirstName": "BELINDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SECRETARY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "951-355-0030",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WW0000X",
          "TaxonomyName": "Wound Care Registered Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2083P0901X",
          "TaxonomyName": "Public Health & General Preventive Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.