Organization Active NPI

Omar E Espinosa MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1013218627
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A23122 Issued in CA
Legal business name
OMAR E ESPINOSA MD INC
Practice address
3030 W Temple St
106
Los Angeles, CA 90026-4533
Phone
(213) 387-9251
Fax
(213) 387-9241
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Omar Eduardo Espinosa, MD
Title
President/Ceo
Phone
(213) 387-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A23122 CA Primary

Addresses

Primary practice location

3030 W Temple St
106
Los Angeles, CA 90026-4533

Mailing address

3030 W Temple St
106
Los Angeles, CA 90026-4533
Phone (213) 387-9251

National Provider Directory

National Provider Directory

Locations

705 Ivy St
Glendale, CA 91204
Phone (818) 637-4838

3030 W Temple St
Ste 106
Los Angeles, CA 90026
Phone (213) 387-9251

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1013218627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W TEMPLE ST",
            "address_2": "106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264533",
            "telephone_number": "213-387-9251",
            "fax_number": "213-387-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W TEMPLE ST",
            "address_2": "106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264533",
            "telephone_number": "213-387-9251",
            "fax_number": "213-387-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR E ESPINOSA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-387-9251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A23122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.