High Desert Womens Memorial Medical Center Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A50695 Issued in CA

Legal business name

HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC

Doing business as

Huntington Park Clinica Santa Maria

Practice address

2680 E Florence Ave
Huntington Park, CA 90255-4708

Phone

(323) 581-4665

Fax

(323) 581-0551

NPI assigned

Sep 13, 2007

Last updated

Jul 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APCAs reported in NPPES

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

Authorized official

Name

Lu-Wei King, MDNPI 1184647950

Title

Medical Director

Phone

(760) 256-6680

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Huntington Park Clinica Santa Maria Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• High Desert Womens Memorial Medical Center Apc

  dba Clinica Santa Maria Echo Park

  • Specialist
  • Los Angeles, CA
  • NPI 1033304894

  O20050620000381

  Same enrollment
• High Desert Womens Memorial Medical Center Apc

  dba Barstow Womens Medical Center

  • Specialist
  • Barstow, CA
  • NPI 1184784555

  O20050620000381

  Same enrollment
• High Desert Womens Memorial Medical Center Apc

  dba Birth & Womens Medical Center

  • Specialist
  • Apple Valley, CA
  • NPI 1790970077

  O20050620000381

  Same enrollment

Tax ID family

High Desert Womens Memo3 organizations share this tax ID, including this one

Part of

High Desert Womens Memo

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• High Desert Womens Memorial Medical Center Apc

  dba Clinica Santa Maria Echo Park

  • Specialist
  • Los Angeles, CA
  • NPI 1033304894
  NPD tax ID
• High Desert Womens Memorial Medical Center Apc

  dba Birth & Womens Medical Center

  • Specialist
  • Apple Valley, CA
  • NPI 1790970077
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lu-Wei King, M.D.

  • Obstetrics Physician
  • Barstow, CA
  • NPI 1184647950

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1023203882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554708",
            "telephone_number": "323-581-4665",
            "fax_number": "323-581-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554708",
            "telephone_number": "323-581-4665",
            "fax_number": "323-581-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LU-WEI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-256-6680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023203882",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "DM453A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Park Clinica Santa Maria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntington Park Clinica Santa Maria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yorgeli Hernandez
• Jocelyn Herrera-Soto
• Graciela Herrera
• Humberto Herrera, M.D.
• Leticia Herrera
• Antoinette Hilburn
• Isarel Hill
• HJ Center, Inc.
• Annick Hollister
• Natalie Holman

• Specialist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.