NPIMap

Organization Active NPI

Luis a. Galdamez, MD Inc.

Doing business as Clinica Medica Virgen de Guadalupe #2

  • Internal Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1033240650
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61918 Issued in CA
Legal business name
LUIS A. GALDAMEZ, MD INC.
Doing business as
Clinica Medica Virgen de Guadalupe #2
Practice address
6831 Seville Ave
Huntington Park, CA 90255-4805
Phone
(323) 581-8234
Fax
(323) 581-0393
NPI assigned
Mar 7, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Corina Ayers
Title
Administrator
Phone
(323) 581-8234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61918 CA Primary
General Practice Physician 208D00000X A048644 CA

Addresses

Primary practice location

6831 Seville Ave
Huntington Park, CA 90255-4805

Mailing address

6831 Seville Ave
Huntington Park, CA 90255-4805
Phone (323) 581-8234

Other identifiers 1

IdentifierTypeStateIssuer
GR0067941MedicaidCA

Other names 1

  • Clinica Medica Virgen de Guadalupe #2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041228000291 CA Part B Supplier - Clinic/Group Practice 7810955655 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Huntington Park, CA

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1045885Clinica Medica Virgen de Guadalupe6831 Seville Ave, Huntington Park, CA 90255Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033240650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554805",
            "telephone_number": "323-581-8234",
            "fax_number": "323-581-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554805",
            "telephone_number": "323-581-8234",
            "fax_number": "323-581-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A. GALDAMEZ, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-581-8234"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61918",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A048644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Virgen de Guadalupe #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.