OrganizationActive
South Atlantic Medical Group
NPI 1801079728 · General Practice Physician · El Monte, CA
Provider details
- NPI number
- 1801079728
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nissan Kahen, Medical Director(323) 725-0167
- License
- A41061 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11518 Garvey Ave
El Monte, CA 91732-3306
Phone: (626) 575-4584
Street-level locationGet directions
Mailing address
5504 Whittier Blvd
Los Angeles, CA 90022-4104
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2007-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.