ST. MARY IPA
NPI 1467498865
Health Maintenance Organization in Lakewood, CA

Active since June 22, 2006
4909 LAKEWOOD BLVD, STE. 200, LAKEWOOD, CA 90712(562) 602-1563(562) 531-0937 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Health Maintenance Organization

About ST. MARY IPA

This page provides the complete NPI Profile along with additional information for St. Mary Ipa, a provider established in Lakewood, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1467498865 assigned on June 2006. The practitioner's primary taxonomy code is 302R00000X with license number 011549 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Christen Reynolds Mba (Director Of Finance)

NPI
1467498865 Verify this NPI
Provider Name
ST. MARY IPA
Entity Type
Organization
Location Address
4909 LAKEWOOD BLVD STE. 200 LAKEWOOD, CA 90712
Location Phone
(562) 602-1563
Location Fax
(562) 531-0937
Mailing Address
4909 LAKEWOOD BLVD STE. 200 LAKEWOOD, CA 90712
Mailing Phone
(562) 602-1563
Mailing Fax
(562) 531-0937
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-22-2006
Last Update Date
10-16-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
011549
License State
CA
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CHRISTEN REYNOLDS MBA

Authorized Official Title
DIRECTOR OF FINANCE
Authorized Official Phone
(562) 602-1563

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Health Maintenance Organization
4909 LAKEWOOD BLVD, STE. 200
LAKEWOOD, CA 90712
Health Maintenance Organization
4909 LAKEWOOD BLVD, #200
LAKEWOOD, CA 90712
Preferred Provider Organization
4909 LAKEWOOD BLVD, SUITE 200
LAKEWOOD, CA 90712
Health Maintenance Organization
4909 LAKEWOOD BLVD, STE. 200
LAKEWOOD, CA 90712
General Practice
4909 LAKEWOOD BLVD, 200
LAKEWOOD, CA 90712
Family Medicine
4909 LAKEWOOD BLVD, 200
LAKEWOOD, CA 90712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467498865, enumerated as an "organization" on June 22, 2006.

The provider is located at 4909 LAKEWOOD BLVD STE. 200 LAKEWOOD, CA 90712 and the phone number is (562) 602-1563.

Health Maintenance Organization with taxonomy code 302R00000X.