FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC
NPI 1316996903
Internal Medicine in Carson, CA

Active since May 09, 2006CLIA 05D0942998 · Waiver
824 E CARSON ST, SUITE 201, CARSON, CA 90745(310) 233-3228(310) 233-3229 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Practice Associates Of Carson Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC (NPI 1316996903) is a healthcare organization registered as an internal medicine in Carson, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Reza Ghanian, President, as its authorized official.

NPPES Registry Identity

NPI1316996903
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC
Location Address824 E CARSON ST, SUITE 201Carson, CA 90745-2262
Mailing Address824 E Carson StCarson, CA 90745-2262 · (310) 233-3228 · Fax (310) 233-3229
Fax(310) 233-3229
Organization SubpartNo
Authorized OfficialReza GhanianPresident · (310) 233-3228
Enumeration DateMay 9, 2006
Last NPPES UpdateApril 24, 2014
NPI 1316996903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G74550
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
824 E CARSON ST, Carson, CA 90745

Other Identifiers 2

Medicare UPINF52172CA
Medicare PINW19860CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0942998

Family Practice Associates Of Carson · Carson, CA
Active · expires Mar 18, 2028
CLIA Number05D0942998
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorReza Ghanian
Laboratory Phone(310) 233-3228
Laboratory LocationFamily Practice Associates Of Carson824 E Carson Street Suite 201, Carson, CA 90745
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
824 E CARSON ST, SUITE 203
CARSON, CA 90745
Family Medicine
824 E CARSON ST, SUITE 206
CARSON, CA 90745
Physician Assistant (Medical)
824 E CARSON ST
CARSON, CA 90745
Pharmacist
824 E CARSON ST
CARSON, CA 90745
Non-Pharmacy Dispensing Site
824 E CARSON ST, SUITE 104
CARSON, CA 90745
Nurse Practitioner (Family)
824 E CARSON ST, SUITE 104
CARSON, CA 90745
Pediatrics
824 E CARSON ST, #202
CARSON, CA 90745
Pediatrics
824 E CARSON ST, STE 202
CARSON, CA 90745

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Practice Associates Of Carson Medical Group Inc's NPI number?

The NPI number for Family Practice Associates Of Carson Medical Group Inc is 1316996903. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Family Practice Associates Of Carson Medical Group Inc located?

Family Practice Associates Of Carson Medical Group Inc is located at 824 E Carson St Suite 201, Carson, CA 90745. The listed phone number is (310) 233-3228.

What is Family Practice Associates Of Carson Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Family Practice Associates Of Carson Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0942998) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Practice Associates Of Carson Medical Group Inc was last updated on April 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.