Organization Active NPI

Torreblanca Medical Clinic Incorporated

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1033437371
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41327 Issued in CA
Legal business name
TORREBLANCA MEDICAL CLINIC INCORPORATED
Practice address
10001 California Ave
South Gate, CA 90280-6005
Phone
(323) 564-4408
Fax
(323) 564-5447
NPI assigned
May 11, 2010
Last updated
May 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Jose Manuel Torreblanca, M.D.NPI 1407922107
Title
Medical Director
Phone
(323) 564-4408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A41327 CA Primary

Addresses

Primary practice location

10001 California Ave
South Gate, CA 90280-6005

Mailing address

10009 California Ave
South Gate, CA 90280-6005
Phone (323) 564-4408

Other identifiers 1

IdentifierTypeStateIssuer
1407922107OtherCAINDIVIDUAL NPI # 1407922107

National Provider Directory

National Provider Directory

Locations

10001 California Ave
South Gate, CA 90280
Phone (323) 564-4408

Practitioners & affiliated clinicians

Practitioners 2

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": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1033437371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806005",
            "telephone_number": "323-564-4408",
            "fax_number": "323-564-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806005",
            "telephone_number": "323-564-4408",
            "fax_number": "323-564-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORREBLANCA MEDICAL CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "TORREBLANCA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-564-4408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI # 1407922107",
            "identifier": "1407922107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.