ONE MEDICAL SENIORS GROUP, INC.
Complete NPI Record 1760130413
Family Medicine in Beverly Hills, CA
Active since March 11, 2022
Complete NPI Dataset
This page contains the complete raw NPPES record for One Medical Seniors Group, Inc. (NPI 1760130413), a family medicine organization in Beverly Hills, CA. All 39 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1760130413 Field 1/39
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/39
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/39
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ONE MEDICAL SENIORS GROUP, INC. Field 4/39
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/39
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/39
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 1 EMBARCADERO CTR STE 1900 Field 7/39
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SAN FRANCISCO Field 8/39
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 9/39
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 941113723 Field 10/39
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/39
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4156586791 Field 12/39
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 4155200904 Field 13/39
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 9725 WILSHIRE BLVD Field 14/39
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: BEVERLY HILLS Field 15/39
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 16/39
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 902122002 Field 17/39
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/39
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 3233057150 Field 19/39
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 3233057149 Field 20/39
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: DIAMOND Field 23/39
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ANDREW Field 24/39
- The first name of the authorized official.
- Authorized Official Middle Name: S Field 25/39
- The middle name of the authorized official.
- Authorized Official Title or Position: CHIEF MEDICAL OFFICER Field 26/39
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4156893426 Field 27/39
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207Q00000X Field 28/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 29/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207R00000X Field 30/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 31/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 208000000X Field 32/39
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 33/39
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 34/39
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: MD Field 35/39
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 36/39
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 37/39
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP Field 38/39
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 2
Additional business and trade names this provider has on file with the NPPES registry.
One Medical Doing Business As
Name 1/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
One Medical SoCal Doing Business As
Name 2/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 14
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
6250 Topanga Canyon Blvd Ste 1585
Location 1/14Woodland Hills, CA 91367-2280 · Phone (818) 927-2057 · Fax (415) 252-7176
8570 W Sunset Blvd Ste 1.5
Location 2/14West Hollywood, CA 90069-2312 · Phone (310) 500-2041 · Fax (323) 305-7149
525 Broadway Ste 1101
Location 3/14Santa Monica, CA 90401-2971 · Phone (310) 500-2045 · Fax (415) 252-7176
6460 E Pacific Coast Hwy Ste 210
Location 4/14Long Beach, CA 90803-4259 · Phone (562) 270-9997 · Fax (415) 252-7176
740 S Allied Way Ste D
Location 5/14El Segundo, CA 90245-5512 · Phone (310) 500-2045 · Fax (415) 252-7176
10000 Washington Blvd Ste 108
Location 6/14Culver City, CA 90232-2782 · Phone (310) 500-2045 · Fax (415) 252-7176
12301 Wilshire Blvd Ste 100
Location 7/14Los Angeles, CA 90025-1000 · Phone (310) 500-2045 · Fax (415) 252-7176
700 S Flower St Ste 2340
Location 8/14Los Angeles, CA 90017-4123 · Phone (310) 500-2039 · Fax (310) 500-2039
10250 Santa Monica Blvd Ste 1280
Location 9/14Los Angeles, CA 90067-6469 · Phone (323) 305-7150 · Fax (415) 252-7176
21034 Pacific Coast Hwy Ste C230
Location 10/14Huntington Beach, CA 92648-5335 · Phone (888) 663-6331 · Fax (415) 252-7176
26741 Aliso Creek Rd Ste F
Location 11/14Aliso Viejo, CA 92656-4804 · Phone (888) 663-6331 · Fax (415) 252-7176
7881 Edinger Ave Ste 124
Location 12/14Huntington Beach, CA 92647-7647 · Phone (888) 663-6331 · Fax (415) 252-7176
801 Spectrum Center Dr
Location 13/14Irvine, CA 92618-4959 · Phone (888) 663-6331 · Fax (415) 252-7176
3850 Barranca Pkwy Ste Kl
Location 14/14Irvine, CA 92606-1202 · Phone (888) 663-6331 · Fax (415) 252-7176
No registry entries match your active lookup criteria.
