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.

About St. Mary Ipa NPPES

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

ST. MARY IPA (NPI 1467498865) is a healthcare organization registered as a health maintenance organization in Lakewood, California and active in the NPI registry since June 2006. The organization lists Christen Reynolds, Director Of Finance, as its authorized official.Information from the official NPPES registry record, last updated October 16, 2012.

NPPES Registry Identity

NPI1467498865
Entity TypeOrganization
Legal Business NameST. MARY IPA
Location Address4909 LAKEWOOD BLVD, STE. 200Lakewood, CA 90712-2405
Mailing Address4909 Lakewood Blvd, Ste. 200Lakewood, CA 90712-2405 · (562) 602-1563 · Fax (562) 531-0937
Fax(562) 531-0937
Organization SubpartYesParent: Lakewood Ipa, Inc.
Authorized OfficialChristen ReynoldsDirector Of Finance · (562) 602-1563
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 16, 2012
NPI 1467498865 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Health Maintenance Organization

Taxonomy 302R00000X · Managed Care Organizations

Licensed in CA · 011549

(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… Show more

4909 LAKEWOOD BLVD, Lakewood, CA 90712

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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.